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An unusual cause of dynamic airway obstruction

from The Journal of Emergency Medicine

A 2½-year-old child was brought to our hospital with chief complaints of fast breathing, fever, and chest retraction for 1 week. The respiratory rate was 50 breaths/min with use of accessory muscles of respiration. On auscultation, crepitation was present in bilateral axillary and infraclavicular regions and oxygen saturation (SpO2) was 85% on room air. There was no history suggestive of foreign-body aspiration. Chest x-ray study showed bilateral bronchopneumonia. Mechanical ventilation was provided after tracheal intubation using a 3.5-mm endotracheal tube (ETT). more

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