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：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2010年 / 29卷 / 03期

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

页码：247 / 250

页数：4

共 14 条

[11] Benefit of pharmaceutical anti-oedematous treatment in acute adult epiglottitis [J].

Templier, F ;

Lentz, T ;

Tazarourte, K ;

Coninx, P ;

Fletcher, D .

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 2004, 23 (10) :1003-1006

[12] Prehospital airway management:: A prospective evaluation of anaesthesia trained emergency physicians [J].

Timmermann, Arnd ;

Eich, Christoph ;

Russo, Sebastian G. ;

Natge, Ulrich ;

Braeuer, Anselm ;

Rosenblatt, William H. ;

Braun, Ulrich .

RESUSCITATION, 2006, 70 (02) :179-185

[13]

Wick F, 2002, SWISS MED WKLY, V132, P541

[14]

ZWAHLEN A, 1978, SCHWEIZ MED WSCHR, V108, P477

← 1 2 →