Airway foreign body occurs unintentionally during anesthetic management of patient with asthma

Cho, Woo Jin; Yun, So Hui; Choi, Yun Suk; Lee, Bang Won; Kim, Mi Ok; Park, Jong Cook

doi:2019.16.2.43

J Med Life Sci > Volume 16(2); 2019 > Article

Case Report

Journal of Medicine and Life Science 2019;16(2):43-45.
DOI: https://doi.org/10.22730/jmls.2019.16.2.43 Published online September 18, 2019.

Airway foreign body occurs unintentionally during anesthetic management of patient with asthma

Woo Jin Cho, So Hui Yun, Yun Suk Choi, Bang Won Lee, Mi Ok Kim, Jong Cook Park

Department of Anesthesiology and Pain Medicine, Jeju National University Hospital
Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine
Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Department of Anesthesiology and Pain Medicine
Division of Pulmonary, Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine

Correspondence: Jong Cook Park, Email: pjcook@jejunu.ac.kr

Abstract

Intraoperative delivery of salbutamol (β2 agonist) through a breathing circuit may be performed in asthma patient. A 28-year-old woman with a history of asthma was diagnosed with chronic sinusitis and bilateral nasal polyps, and an endoscopic sinus surgery was performed. The patient was recommended salbutamol nebulization every 4 hours during the perioperative period because of the risk of asthma attack. At the end of the operation, when salbutamol was sprayed through the tube before extubation and the connector tip went inside the tube during injection. The patient was immediately referred to the pulmonary medicine department for bronchoscopy, where the foreign body was removed safely without any complications. When general anesthesia is performed on a patient who usually uses an inhaler for asthma, caution is required because the tip that connects the inhaler and the breathing circuit can aspirate into the endotracheal tube and enter the lungs when applying the inhaler before waking up the patient.

Key Words: Adrenergic, beta, 2, receptor, agonists;, Airway, obstruction;