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

被引:1
|
作者
Lilot, M. [1 ]
Petitjeans, F. [1 ]
Wey, P. -F. [1 ]
Eve, O. [1 ]
Puidupin, M. [1 ]
机构
[1] Hop Instruct Armees Desgenettes, Dept Anesthesie Reanimat Urgences, F-69003 Lyon, France
来源
关键词
Laryngeal oedema; Laryngeal dyspnea; Epiglottitis; Transtracheal oxygenation access; Airway obstruction; ADULT EPIGLOTTITIS; EXPERIENCE;
D O I
10.1016/j.annfar.2009.11.012
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:247 / 250
页数:4
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