Acute obstructive epiglottitis in intensive care unit: which airway management strategy?

Annales Françaises D'anesthèsie Et De Rèanimation
M LilotM Puidupin

Abstract

Acute epiglottitis is an infection of supraglottic structures, with a high risk of life-threatening respiratory obstruction. We report a case of a 52-year-old patient who presented with a prehospital hypoxic respiratory arrest caused by obstructive oedema with a successful resuscitation. Laryngoscopy after a sudden unplanned extubation permits diagnosis of acute obstructive epiglottitis. The growing threat of laryngeal dyspnea prompts emergency tracheal airway protection, by means of the combined preparation of transtracheal oxygenation access and the use of fiber-optic laryngoscopy. This case report emphasises the airway management strategy successfully used in this patient.

References

Oct 27, 2004·Annales Françaises D'anesthèsie Et De Rèanimation·F TemplierD Fletcher
Jun 14, 2005·The Journal of Laryngology and Otology·Ravi MeherA K Agarwal
Apr 21, 2006·The Journal of Laryngology and Otology·M A HafidhR McConn Walsh
Dec 19, 2006·Annales Françaises D'anesthèsie Et De Rèanimation·F BattefortJ-L Ducassé
Apr 25, 2008·Emergency Medicine Journal : EMJ·H L NgS Anandaciva
Jan 24, 2009·The Journal of Craniofacial Surgery·Raja MohanSeth Thaller

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