ArticleJournal of community hospital internal medicine perspectives2025
Dislodged Denture in a Patient on High-flow Nasal Cannula: A Rare Mechanical Complication.
Article in Journal of community hospital internal medicine perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A man in his 70s presented with dyspnea and a seizure, requiring intubation for suspected status epilepticus. Following extubation and treatment for a COPD exacerbation, persistent hypoxemia led to high-flow nasal cannula (HFNC) therapy. However, his condition worsened with increased work of breathing and inability to speak. Chest radiography revealed a dislodged denture in the upper airway. Emergency reintubation and removal of the denture led to rapid clinical improvement, and he was extubated the next day. While denture dislodgement has been reported with bag-mask ventilation and BiPAP, this is the first case associated with HFNC. This case underscores the need to assess for dentures in patients requiring advanced respiratory support to prevent such complications.
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