Case Report

Postoperative Airway Obstruction by a Bone Fragment

Table 1


ParameterBone fragment in situBone fragment expelled

Mental stateAgitatedCooperative
Patient’s positionUpright preferredRegular
RespirationCoughingNormal breathing
O2 flow [l/min]93
RF [/min]2015
SpO2 [%]92%97%
RR [mmHg]151/79121/70
HR [/min]80 (136)64

Key variables before (bone fragment in situ, left column) and after the bone fragment were expelled by the patient (right column) in the postoperative period. After expelling the bone fragment, all variables returned towards normal values. In parallel also the oxygen requirement could be markedly reduced. O2 flow: oxygen flow via the face mask; RF: respiratory frequency; SpO2: pulse oximetric arterial oxygen saturation; RR: arterial blood pressure; HR: heart rate. The heart rate in brackets indicates the peak heart rate recorded during this period.