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Delayed Obstruction of Endotracheal Tube by Previously Aspirated Foreign Body: A Case Report
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Sungsik Chon, Jinho Kim, Shin Ok Koh, Jung Goo Cho, In Soon Hwang, In Seon Jin
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Korean J Crit Care Med. 2005;20(2):174-177.
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 Abstract
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- Acute airway obstruction during endotracheal intubation status is embarrassing and critical situation which requires early diagnosis and immediate management. Endotracheal tube obstruction with foreign body is rare but a variety of objects have been reported. We present a case of endotracheal tube obstruction as a result of previous aspirated foreign body that moved from the bronchial tree into the endobroncheal tube.
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Decreased Phenytoin Absorption in Patients with Continuous Enteral Feedings
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Eun Kyong Roe, Hye Kyung Kim, Sung Hui Lim, Bo Sook Ahn, Chang Gyoo Byun, Jung Goo Cho, Cheung Soo Shin
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Korean J Crit Care Med. 2000;15(2):102-107.
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Abstract
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- This report supports interactions between phenytoin and both enteral feeding products and nasogastric feeding tube. Five patients in ICU were treated with intravenous phenytoin, which yield detectable therapeutic serum concentrations.
After switching to a comparable phenytoin capsule administered by nasogastric feeding tube, their serum phenytoin concentration fell to below assay sensitivity concentrations. Two of them experienced seizures. They were administered by intravenous phenytoin again or another antiepileptic drug, so the seizures were controlled. Some fact of decreased phenytoin absorption in enteral feeding patients is that phenytoin interact enteral feeding product and adhere the nasogastric feeding tube itself. We conclude that it is necessary to use phenytoin with caution in enteral feeding patients.
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KSCCM
