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I-gel® as airways management in a challenging adult tracheobronchial foreign body aspiration

  • Domenico Sarubbi,
  • Antonio Sarubbi,
  • Alessandro Strumia,
  • Giuseppe Pascarella,
  • Pierfilippo Crucitti,
  • Filippo Longo,
  • Luca Frasca,
  • Matteo Martuscelli,
  • Eleonora Tomaselli,
  • Massimiliano Carassiti,
  • Felice Eugenio Agrò

摘要

Tracheobronchial foreign body (TFB) aspiration is an uncommon but potentially life-threatening event. This case report discusses the successful extraction of a metallic screw aspirated by a 48-year-old woman with intellectual disability, using flexible bronchoscopy through the i-gel® laryngeal mask under general anesthesia. The i-gel® device proved effective in maintaining airway access and facilitating bronchoscopy, emphasizing its utility in challenging cases. The report underscores the significance of careful assessment, skillful intervention, and multidisciplinary teamwork in managing TFB aspirations, especially in uncooperative patients with comorbidities.