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Aspiration Of Nebulizer Cork

Harold M. Silver, MD; Marvin Fuchs, MD
JAMA. 1968;205(3):187. doi:10.1001/jama.1968.03140290079029.
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To the Editor:—  Because the inhalation of aerosol bronchodilator solutions has an established place in the treatment of chronic obstructive lung disease, many different devices are available for their generation. The improper use of one of these by an asthmatic patient resulted in the blockage of the left mainstem bronchus by aspiration of the nebulizer cork. Examination of the design of this particular device and the instructions for its use reveal factors which facilitate such an accident.

Report of a Case—  A 43-year-old attorney has had asthma since the age of 5 and has used a nebulizer regularly since 1966. In the course of his work, the patient traveled considerably and on one trip found himself without the usual device. He purchased another nebulizer (Figure), which he found to be highly effective. It was loaded with epinephrine solution at the bedside for instant use. In the early hours of Feb


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