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Acute obstructive epiglottitis in intensive care unit: which airway management strategy?
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. Laryngoscop...
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Published in: | Annales françaises d'anesthésie et de réanimation 2010-03, Vol.29 (3), p.247-250 |
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container_title | Annales françaises d'anesthésie et de réanimation |
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creator | Lilot, M Petitjeans, F Wey, P-F Eve, O Puidupin, M |
description | 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. |
doi_str_mv | 10.1016/j.annfar.2009.11.012 |
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source | ScienceDirect Journals |
subjects | Acute Disease Airway Obstruction - etiology Airway Obstruction - therapy Critical Care Dyspnea - etiology Dyspnea - therapy Edema - complications Epiglottitis - therapy Humans Hypoxia - etiology Hypoxia - therapy Intensive Care Units Laryngoscopy Male Middle Aged Oxygen Inhalation Therapy Respiration, Artificial Respiratory Insufficiency - therapy Resuscitation |
title | Acute obstructive epiglottitis in intensive care unit: which airway management strategy? |
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