Fatal Aspiration of Thick Barium

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Abstract
A case of fatal aspiration of thick Ba during esophagography in a 75 yr old woman is reported. Apparently the patient held much of the barium in her mouth and then aspirated it as she tried to swallow. Thick barium should be avoided when fluoroscopy shows that the patient has difficulty in swallowing thin barium and a suction machine equipped with a large-bore catheter should be readily available during esophagography, particularly in the elderly or obtunded patient.

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