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Ann Fr Anesth Reanim · Mar 2010
Case Reports[Acute obstructive epiglottitis in intensive care unit: which airway management strategy?].
- M Lilot, F Petitjeans, P-F Wey, O Eve, and M Puidupin.
- Département d'anesthésie-réanimation-urgences, hôpital d'instruction des armées de Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
- Ann Fr Anesth Reanim. 2010 Mar 1; 29 (3): 247-50.
AbstractAcute 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.Copyright (c) 2009 Elsevier Masson SAS. All rights reserved.
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