TY - JOUR T1 - ESophageal perforation with obturator airway AU - Carlson WJ, Hunter SW, Bonnabeau RC, Jr Y1 - 1979/03/16 N1 - 10.1001/jama.1979.03290370058032 JO - JAMA SP - 1154 EP - 1155 VL - 241 IS - 11 N2 - RUPTURE of the esophagus is an infrequent sequel to insertion of an esophageal obturator airway1 during cardiopulmonary arrest. Since many of these patients have a poor prognosis, however, prompt recognition coupled with effective treatment when this complication occurs becomes important.Report of a CaseĀ  A 47-year-old woman with a flu-like syndrome for a two-day period and with no notable past medical history sustained a cardiopulmonary arrest (ventricular fibrillation) while at home. Fire department emergency medical technician (EMT)-paramedics successfully resuscitated her by using closed-chest cardiac massage, an esophageal obturator airway, and electrical direct current countershock. On arrival at Bethesda Lutheran Medical Center, the patient was comatose but breathing spontaneously. Her blood pressure was 136/98 mm Hg, and she had a sinus rhythm of 100 beats per minute. After a grand mal seizure lasting one hour (possibly owing to anoxia), she regained consciousness with no residual cerebral damage. Serial cardiac isoenzyme SN - 0098-7484 M3 - doi: 10.1001/jama.1979.03290370058032 UR - http://dx.doi.org/10.1001/jama.1979.03290370058032 ER -