An unusual foreign body in the oral cavity: a case report from a patient safety point of view and literature review.
An unusual foreign body in the oral cavity: a case report from a patient safety point of view and literature review.
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口腔内异常异物：从患者安全角度看的病例报告及文献综述
DOI：
10.1007/s00540-022-03087-y
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发表时间：
2022
影响因子：
2.8
通讯作者：
Kawamata M
中科院分区：
文献类型：
--
作者：
Ito M;Watanabe N;Sawado Y;Ishida K;Yoshiyama Y;Ishida T;Fuseya S;Tanaka S;Kawamata M
与麻醉程序相关的口腔、气道、食管和呼吸回路中的意外异物（FB）很少见，但可能导致严重和危及生命的并发症。我们在这里提出一个案例，其中一个不寻常的FB在口腔中被发现后出现全身麻醉。FB后来被确定为一个毡尖笔的融化帽。我们调查了可重复使用材料的清洁过程，并得出结论，在清洁过程中，FB意外放置在可重复使用牙垫的内腔中。然后，我们对因麻醉手术而被截留在口腔、咽、喉、气管、食管和麻醉呼吸回路中的除牙源性FB以外的FB的文献进行了综述。从我们的病例和检索中发现的53例病例中，我们得出结论：1）建议使用一次性医疗器械，2）FB在麻醉期间容易迁移到口腔和气道中，3）延迟FB识别可能与插管困难有关，4）应更加注意麻醉期间任何医疗或非医疗器械成为FB的可能性。
Accidental foreign bodies (FBs) in the oral cavity, airway, esophagus and breathing circuit associated with anesthetic procedures are rare but can cause serious and life-threatening complications. We here present a case in which an unusual FB in the oral cavity was found after emergence from general anesthesia. The FB was later identified as a melted cap of a felt-tip pen. We investigated the cleaning process for reusable materials and concluded that the FB was accidentally placed in the inner lumen of the reusable bite block during the cleaning process. We then performed a review of the literature on FBs other than those of dental origin which were entrapped in the oral cavity, pharynx, larynx, trachea, esophagus, and anesthetic breathing circuit due to anesthetic procedures. From our case and 53 cases found in the search, we concluded that 1) use of disposable medical devices is recommended, 2) FBs can easily migrate into the oral cavity and airway during anesthesia, 3) delayed FB recognition may be associated with difficult intubation situations, and 4) more attention should be paid to the possibility of any medical or non-medical device becoming an FB during anesthesia.