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Learning from errors
CASE REPORT
Aspiration of Nasopore nasal packing
  1. Jonathan Smith,
  2. Ekambar Reddy
  1. Department of ENT, Craigavon Hospital, Southern Health and Social Care Trust, Portadown, Northern Ireland, UK
  1. Correspondence to Dr Jonathan Smith, jgfsmith{at}outlook.com

Summary

We present a case of postoperative Nasopore aspiration in an otherwise fit and well 11-year-old. An endoscopic adenoidectomy had been performed without incident and Nasopore packing placed into each nasal cavity. Immediately after extubation, there was marked hypoxia, tachypnoea and high clinical suspicion of pack aspiration. The patient returned to theatre for emergency rigid bronchoscopy and retrieval of nasal packing.

  • ear, nose and throat/otolaryngology
  • anaesthesia
  • otolaryngology / ent

https://doi.org/10.1136/bcr-2017-221969

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    Footnotes

    • Handling editor Seema Biswas

    • Contributors JS was responsible for collection of the data via notes, interpretation into a start-to-finish case, research of the mechanism of morbidity and of similar cases in the literature and penned the first draft of the case report. ER was the initiator of the case and provided guidance for planning of the case, how to conduct the research while also providing a paper to reference, provided aspects of data interpretation and also gave a thorough critique of the case report with substantial addition to the text prior to admission. Both authors have also given final approval for publication if accepted.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.