sodium-bicarbonate and Foreign-Bodies

Removal of an impacted food bolus in the lower oesophagus at rigid oesophagoscopy is challenging and carries a significant risk of perforation. We present two cases which were successfully disimpacted radiologically, in order to raise awareness among otolaryngologists of this therapeutic option.

Topics: Aged; Aged, 80 and over; Barium Sulfate; Citric Acid; Contrast Media; Drug Combinations; Esophageal Stenosis; Food; Foreign Bodies; Humans; Male; Radiography; Simethicone; Sodium Bicarbonate

Topics: Barium Sulfate; Citrates; Citric Acid; Drug Combinations; Esophageal Perforation; Esophagus; Foreign Bodies; Glucagon; Humans; Radiography; Risk Factors; Sodium Bicarbonate

Topics: Administration, Oral; Adult; Aged; Antacids; Bicarbonates; Citrates; Citric Acid; Drug Combinations; Esophagus; Female; Foreign Bodies; Glucagon; Humans; Injections, Intravenous; Male; Middle Aged; Sodium Bicarbonate; Water

Twenty-six patients were treated with a gas-forming mixture of tartaric acid and sodium bicarbonate to relieve esophageal food impactions. A success rate of 65% was achieved, with one patient suffering a mucosal tear of the esophagus. Recommendations are made to limit the use of such gas-forming agents to impactions less than six hours old and in patients without chest pain.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Bicarbonates; Chest Pain; Esophagus; Female; Food; Foreign Bodies; Humans; Male; Middle Aged; Retrospective Studies; Sodium; Sodium Bicarbonate; Tartrates; Time Factors

Impacted meat obstructing the esophagus was successfully treated in 8 patients by oral administration of tartaric acid and sodium bicarbonate. This acid-base mixture produces carbon dioxide, which distends the esophagus and propels the meat into the stomach. The authors have had a 100% success rate with no complications and recommend that this procedure be the first treatment attempted for meat impaction in the esophagus.

Topics: Adult; Aged; Bicarbonates; Esophagus; Female; Foreign Bodies; Humans; Male; Meat; Middle Aged; Radiography; Sodium Bicarbonate; Tartrates

Cocaine poisoning has increased recently, and survival is rare because of its sudden onset and rapidly fatal course. A patient is described in whom cocaine poisoning developed. This condition was manifest by the findings of acute agitation, diaphoresis, and tachycardia, and was complicated by grand mal seizures, severe respiratory and metabolic acidosis, apnea, and accelerated idioventricular rhythm. After control of the seizures with diazepam and treatment of the acidosis with ventilation and bicarbonate, the ventricular dysrhythmia abated, and the patient made a quick recovery. Recently reported experiments suggest that seizures are a major determinant of lethality in cocaine poisoning. Treatment of the seizures is of prime importance, and correction of the acidosis can normalize cardiac rhythm and function in these critically ill patients.

Topics: Acidosis; Acute Disease; Adult; Bicarbonates; Cocaine; Diazepam; Epilepsy, Tonic-Clonic; Foreign Bodies; Humans; Male; Rectum; Sodium Bicarbonate; Tachycardia