{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:52:18Z","timestamp":1791355938415,"version":"4.3.1"},"reference-count":6,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":97,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>A 78\u2010year\u2010old man presented with stridor and dysphonia after choking at home. He deteriorated, with respiratory distress and an oxygen saturation of 55% despite oxygen via a non\u2010rebreather mask. Flexible nasendoscopy demonstrated a food bolus between the epiglottis and glottis. The team judged apnoea and assisted positive\u2010pressure ventilation before extraction to be hazardous, while deterioration and limited cooperation made an awake technique impracticable. Sole\u2010agent ketamine sedation facilitated videolaryngoscopy with clinically observed spontaneous breathing; the bolus, a slice of carrot, was removed using Magill forceps. Rocuronium was then administered and an attempt at tracheal intubation prior to its onset was unsuccessful. As rocuronium took effect, the laryngoscopic view improved and copious blood\u2010stained tracheal fluid appeared. Following suction, the trachea was intubated. Negative\u2010pressure pulmonary oedema was suspected. His lungs were ventilated for 48\u2009h, and he was subsequently discharged home without sequelae. The case illustrates staged foreign body removal and subsequent tracheal intubation, with preparation for neuromuscular blockade and airway rescue. In this patient, ketamine facilitated laryngoscopy and foreign body removal while spontaneous breathing was clinically observed.<\/jats:p>","DOI":"10.1002\/anr3.70112","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:21:58Z","timestamp":1791354118000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of sole\u2010agent ketamine sedation to facilitate laryngoscopy and foreign body removal in acute supraglottic airway obstruction"],"prefix":"10.1002","volume":"14","author":[{"given":"A.","family":"McBride","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Lewisham and Greenwich NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Burr","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Lewisham and Greenwich NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14904"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2017.10.021"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2019.4.42753"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2020.10.042"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2021.09.007"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010014\u20103307\u20107"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70112","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.70112","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70112","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:21:59Z","timestamp":1791354119000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.70112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/anr3.70112"],"URL":"https:\/\/doi.org\/10.1002\/anr3.70112","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-09-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70112"}}