{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:48:59Z","timestamp":1768434539634,"version":"3.49.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,9,17]],"date-time":"2015-09-17T00:00:00Z","timestamp":1442448000000},"content-version":"vor","delay-in-days":259,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Patients with oral penetration injuries require a systematic physical examination. These patients should be managed by a multidisciplinary medical team. Airway management, operative procedures, and transfusion needs of the patient with an oral penetration injury should be discussed before surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 63-year-old man with a history of recurrent hepatic duct cancer attempted suicide by advancing an intravenous pole through his mouth, neck, and thorax, ultimately penetrating into the right retroperitoneal space. A multidisciplinary team assembled by code blue emergently treated the patient, initially with fiberoptic intubation. The injured right lower lung was resected under one lung ventilation via a double lumen tube after tracheostomy. Fortunately, the pole did not injure any other organs or major vessels. Despite successful removal of the pole after lung resection, the patient died 14 days postoperatively due to his primary hepatic duct cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>We highlight the need for a multidisciplinary approach to this patient\u2019s management and discuss particular aspects of airway and transfusion management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>A systematic and multidisciplinary approach allowed successful removal of the drip pole and stabilization of the patient\u2019s respiratory and hemodynamic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2015.09.019","type":"journal-article","created":{"date-parts":[[2015,9,25]],"date-time":"2015-09-25T20:48:42Z","timestamp":1443214122000},"page":"112-115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Self-inflicted oral penetration injury"],"prefix":"10.1097","volume":"16","author":[{"given":"Shunsuke","family":"Takaki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osamu","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Morimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahisa","family":"Goto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-28-20260114","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1097\/00000542-200305000-00032","article-title":"Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway","volume":"98","author":"Robert Caplan","year":"2003","journal-title":"Anesthesiology"},{"key":"R2-28-20260114","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1097\/00000542-199112000-00021","article-title":"Management of the difficult adult airway: with special emphasis on awake tracheal intubation","volume":"75","author":"Benumof","year":"1991","journal-title":"Anesthesiology"},{"key":"R3-28-20260114","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1097\/00000542-199710000-00034","article-title":"Critical hemoglobin desaturation will occur before return to an unparalyzed state following 1 mg\/kg intravenous succinylcholine","volume":"87","author":"Benumof","year":"1997","journal-title":"Anesthesiology"},{"key":"R4-28-20260114","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1097\/00005373-197905000-00014","article-title":"Routine angiographic evaluation of neck and extremity injuries","volume":"19","author":"McCormick","year":"1979","journal-title":"J. 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