Another cause of difficult airway in an elderly patient: Tongue‐base abscess

Bınar, Murat; Arslan, Fatih; Aydın, Ümit

doi:10.1111/ger.12330

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…, ankylosing spondylitis, degenerative osteoarthritis, Treacher–Collins, Klippel–Feil, Down syndrome, mucopolysaccharidosis, and airway masses) (Category B4-H evidence ). 71–122…”

Section: Guidelinesmentioning

confidence: 99%

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway *

Apfelbaum¹,

Hagberg²,

Connis³

et al. 2021

Anesthesiology

670

547

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The American Society of Anesthesiologists; All India Difficult Airway Association; European Airway Management Society; European Society of Anaesthesiology and Intensive Care; Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care, Learning, Teaching and Investigation Difficult Airway Group; Society for Airway Management; Society for Ambulatory Anesthesia; Society for Head and Neck Anesthesia; Society for Pediatric Anesthesia; Society of Critical Care Anesthesiologists; and the Trauma Anesthesiology Society present an updated report of the Practice Guidelines for Management of the Difficult Airway.

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“…, ankylosing spondylitis, degenerative osteoarthritis, Treacher–Collins, Klippel–Feil, Down syndrome, mucopolysaccharidosis, and airway masses) (Category B4-H evidence ). 71–122…”

Section: Guidelinesmentioning

confidence: 99%

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway *

Apfelbaum¹,

Hagberg²,

Connis³

et al. 2021

Anesthesiology

670

547

View full text Add to dashboard Cite

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“…Especially, preoperative airway imaging including ultrasonography of airway, pulmonary auscultation, etc. are particularly important[ 17 - 19 ]. The patient was in critical condition upon admission; therefore, emergency ureteroscopy holmium laser lithotripsy was performed without a preoperative chest radiology examination, resulting in inadequate preparation before anesthesia, the inability to assess the risk of anesthesia before surgery fully, as well as an unexpected difficult airway.…”

Section: Discussionmentioning

confidence: 99%

Unexpected difficult airway due to severe upper tracheal distortion: A case report

Zhou¹,

Wang²,

Chen³

et al. 2022

WJCC

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BACKGROUND Difficult airway is a significant cause of anesthesia-associated death and disability. Currently, physical examinations of thyromental distance, mouth opening, Mafampaii classification, etc. combined with X-ray, computed tomography (CT), and other imaging technologies are mainly used to evaluate difficult airways. However, in many special cases, i.e. , emergency surgery, imaging examinations cannot be completed preoperatively. Such patients' airway can only be evaluated through general physical examination, which inevitably increases the likelihood of an unexpected difficult airway during anesthesia. CASE SUMMARY We report a rare case of difficult intubation because of severe upper trachea distortion after induction. Emergency holmium laser lithotripsy was performed under transurethral ureteroscopy because the patient had anuria for 4 d and a creatinine level of 890 μmol/L. Due to the urgency of the condition, chest radiography or chest CT was not examined before surgery and the anesthesiologist did not evaluate the airway adequately, resulting in an unexpected difficult airway. CONCLUSION The incidence of tracheal malformation and tracheal stenosis is extremely low, but the risk of hypoxia and even death due to difficult airways is extremely high for such patients. It is recommended to complete preoperative imaging examinations of the airway. For life-threatening emergency patients, a pre-anesthesia reassessment should be performed and surgeons should be prepared to prevent and manage the difficult airway.

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“…Si cet organe est sujet aux nombreux traumatismes, ses atteintes infectieuses restent rares du fait de son anatomie particulière : muqueuse dense kératinisée, une riche vascularisation sanguine et un important réseau de drainage lymphatique, sans oublier le rôle protecteur de la salive (PH, enzymes, anticorps…). [1,3] Les abcès de la langue représentent une entité rare, ceux de sa portion pharyngienne sont exceptionnels, seulement 60 cas ont été rapportés entre 1987 et 2017. Ils peuvent être secondaires à une amygdalite linguale, un corps étranger, thyroïde infectée, un kyste du tractus thyréoglosse ; comme ils peuvent être favorisés par une mauvaise hygiène bucco-dentaire ou un état d'immunodéficience, ce qui explique la prédominance de la population adulte masculine avec un terrain d'intoxication alcoolo-tabagique.…”

Section: Discussion:-unclassified

Macroglossie Spontanee Aigue : Quel Est Votre Diagnostic?

Sayad¹,

Azzam²,

Boulaadas³

et al. 2020

IJAR

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Labces de la base de langue est une entite tres rare quil faut suspecter devant une macroglossie aigue febrile.il sagit dune urgence medico-chirurgicale pouvant engager le pronostic vital. Peu de cas sont decrits dans la litterature. Nous rapportons le cas dun abces spontane de la base de langue et du plancher buccal chez un enfant de 4 ans. La clinique est peu specifique dou linteret de limagerie en particulier la TDM qui permet de poser le diagnostic et de prevoir la conduite ÃƒÂƒÃ‚Â tenir therapeutique. Sa prise en charge est fondee avant tout sur la liberation des voies aeriennes superieures, la mise en route dune antibiotherapie adequate et un drainage chirurgical de la collection.

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Another cause of difficult airway in an elderly patient: Tongue‐base abscess

Abstract: Poor oral hygiene may predispose elderly patients to tongue-base abscesses. An early decision should be made for surgical drainage due to the risk of airway obstruction.

Cited by 4 publications

References 4 publications

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway *

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway *

Unexpected difficult airway due to severe upper tracheal distortion: A case report

Macroglossie Spontanee Aigue : Quel Est Votre Diagnostic?

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