Recognizing Vocal Cord Dysfunction: Exercising Caution Before Intubation

被引:1
|
作者
Fernandes, Pamela [1 ]
Siembida, Filip [2 ]
Monla-Hassan, Jaber [3 ]
Bitetto, Daniel [4 ]
机构
[1] Einstein Med Ctr Montgomery, Transit Year Resident Program, Internal Med, East Norriton, PA 19403 USA
[2] Einstein Med Ctr Montgomery, Transit Year Resident Program, Med, East Norriton, PA USA
[3] Einstein Med Ctr Montgomery, Pulmonol & Crit Care, East Norriton, PA USA
[4] Einstein Med Ctr Montgomery, Hosp Med, East Norriton, PA USA
关键词
vcds; respiratory distress; unnecessary intubation; inducible laryngeal obstruction; vocal cord dysfunction;
D O I
10.7759/cureus.46551
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Vocal cord dysfunction (VCD) is the inappropriate adduction of the vocal cords during inhalation and sometimes, exhalation. Vocal cord dysfunction is often misdiagnosed in the emergency room as asthma exacerbation or laryngeal angioedema, leading to unnecessary and potentially harmful interventions including intubation and mechanical ventilation. Based on this, it is especially important to recognize this condition early to avoid intubation, which can further worsen VCD. This case presents a 74-year-old female with a history of hypertension and colon cancer who presented to the emergency department (ED) with respiratory distress associated with stridor and wheezing. Our literature review sheds light on identifying key clinical features, physical exam findings, diagnostic tests, existing treatment options for this condition, and preventive measures to minimize its occurrence.
引用
收藏
页数:5
相关论文
共 50 条
  • [21] Vocal cord dysfunction: a review
    Neha M. Dunn
    Rohit K. Katial
    Flavia C. L. Hoyte
    Asthma Research and Practice, 1 (1)
  • [22] Vocal cord dysfunction in adolescents
    Schulze, Johannes
    Weber, Sarah
    Rosewich, Martin
    Eickmeier, Olaf
    Rose, Markus A.
    Zielen, Stefan
    PEDIATRIC PULMONOLOGY, 2012, 47 (06) : 612 - 619
  • [23] Vocal cord dysfunction: an update
    Gimenez, Leslie M.
    Zafra, Heidi
    ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2011, 106 (04) : 267 - 275
  • [24] Vocal cord dysfunction and asthma
    Benninger, Cathy
    Parsons, Jonathan P.
    Mastronarde, John G.
    CURRENT OPINION IN PULMONARY MEDICINE, 2011, 17 (01) : 45 - 49
  • [25] VOCAL CORD DYSFUNCTION AND WHEEZING
    GOLDMAN, J
    MUERS, M
    THORAX, 1991, 46 (06) : 401 - 404
  • [26] Vocal cord dysfunction in children
    Noyes, Blakeslee E.
    Kemp, James S.
    PAEDIATRIC RESPIRATORY REVIEWS, 2007, 8 (02) : 155 - 162
  • [27] TRUE VOCAL CORD PARALYSIS FOLLOWING INTUBATION
    CAVO, JW
    LARYNGOSCOPE, 1985, 95 (11): : 1352 - 1359
  • [28] VOCAL CORD PARALYSES CAUSED BY INTUBATION TRAUMAS
    HEINEMANN, M
    SPRACHE-STIMME-GEHOR, 1981, 5 (03): : 135 - 136
  • [29] Vocal Cord Paralysis as a Complication of Endotracheal Intubation
    Evman, Melis Demirag
    Selcuk, Ayse Adin
    JOURNAL OF CRANIOFACIAL SURGERY, 2020, 31 (02) : E119 - E120
  • [30] VOCAL-CORD PARALYSIS WITH ENDOTRACHEAL INTUBATION
    HAHN, FW
    MARTIN, JT
    LILLIE, JC
    ARCHIVES OF OTOLARYNGOLOGY, 1970, 92 (03): : 226 - &