TY - JOUR PY - 2023// TI - Uncapped metered-dose inhalers: a risk for foreign body aspiration. a case report and review of the literature JO - International journal of chronic obstructive pulmonary disease A1 - Schürmann, Dirk A1 - Saccomanno, Jacopo A1 - Temmesfeld-Wollbrück, Bettina A1 - Witzenrath, Martin A1 - Hübner, Ralf-Harto SP - 1931 EP - 1935 VL - 18 IS - N2 - The risk of foreign body aspiration associated with uncapped handheld metered-dose inhalers (MDIs) is underestimated. We report a case in which a plastic cable clip accidentally lodged in the mouthpiece of an uncapped pressurized MDI was aspirated during its use. A literature search revealed 16 other cases of foreign body aspiration associated with uncapped handheld inhalers, all but one of which were pressurized inhalers. Patients should be informed of the risk of foreign body aspiration associated with uncapped pocket inhalers. The use of an uncuffed armoured tracheal tube with a separate oxygen tubing during flexible bronchoscopy for foreign body removal ensures a safe airway. Foreign bodies that exceed the lumen size of the tracheal tube can be pulled to the distal opening with forceps and removed when the tube is withdrawn.
Language: en
LA - en SN - 1176-9106 UR - http://dx.doi.org/10.2147/COPD.S408845 ID - ref1 ER -