Awake fiberoptic intubation in patients of deep neck infections: experience at rural tertiary care hospital: case series

Shende, Roshan M; Mankar, Shital Namdeorao; Deshmukh, Durgesh G.; Patwardhan, Damodar

doi:10.5455/ijmsph.2017.05072016577

Cited by 2 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is relatively more common among young adults, especially those who are immunocompromised or with multiple comorbidities. It has been reported to be polymicrobial and has been shown to be the most common deep neck infection arising from acute tonsillitis (3,4) . Group A Streptococcus and Streptococcus milleri group (a subgroup of viridians streptococci) are the most common aerobes, while Fusobacterium necrophorum is the most commonly isolated anaerobe (5,7) .…”

Section: Discussionmentioning

confidence: 99%

“…Patients with PTA traditionally present with a sore throat, odynophagia (usually unilateral), dysphagia, otalgia, trismus, and fever (2,4) . Stridor, drooling of saliva, difficulty in managing secretions, anxiety, cyanosis, and sitting in a tripod posture indicate impending airway obstruction, which requires emergent airway management (3) . Diabetes mellitus is the most common systemic comorbidity among patients with deep neck infections (7) .…”

Section: Discussionmentioning

confidence: 99%

“…In our case, due to poorly uncontrolled diabetes mellitus, even after successful drainage of the PTA, the infection remained in the submandibular space, requiring additional drainage. Deep neck spaces are areas of loose connective tissue filling the region between the three layers of deep cervical fascia (3) . The infection may spread over large areas due to the communication of the neck spaces with one another (3) .…”

Section: Discussionmentioning

confidence: 99%

“…The gold standard treatment in PTA is intraoral incision and drainage. However, drainage of an intraoral abscess can be especially challenging in obese patients with a compromised airway (3) . Airway compromise has long been identified as the cause of mortality in deep neck abscesses (3) .…”

Section: Introductionmentioning

confidence: 99%

“…However, drainage of an intraoral abscess can be especially challenging in obese patients with a compromised airway (3) . Airway compromise has long been identified as the cause of mortality in deep neck abscesses (3) . We report a case of PTA in a 147 kg patient with uncontrolled diabetes and impending airway collapse.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Airway management in a morbidly obese patient with impending airway obstruction

Velayutham,

Mohd Arif,

Saniasiaya

2023

Pediatr Med Rodz

View full text Add to dashboard Cite

Peritonsillar abscess is not an uncommon referral to the otorhinolaryngology team. Treatment entails incision and drainage, followed by antibiotics. Emergent treatment is required to avoid complications such as extension into deep neck spaces, like retropharyngeal and danger space, which may result in spread into the mediastinum and airway obstruction. Herein, we describe peritonsillar abscess management in a morbidly obese woman who presented with peritonsillar abscess with impending airway obstruction. We highlight the importance of multidisciplinary team involvement in managing the difficult airway as well as the preparedness of the difficult airway team.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Airway management in a morbidly obese patient with impending airway obstruction

Velayutham,

Mohd Arif,

Saniasiaya

2023

Pediatr Med Rodz

View full text Add to dashboard Cite

show abstract

Experiential learning in simulated parapharyngeal abscess in breathing cadavers

et al. 2021

View full text Add to dashboard Cite

Purpose Education in airway management is a fundamental component of anesthesiology training programs. There has been a shift towards the use of simulation models of higher fidelity for education in airway management. The goal of this study was to create a novel cadaveric model of a simulated parapharyngeal abscess with features of a difficult airway such as distorted anatomy and narrow airway passages presenting as stridor. The model was further assessed for its suitability for enhanced experiential learning in the management of difficult airways. Methods Cadaver heads were modified surgically to simulate parapharyngeal abscess. Airtight torso of the cadaver was connected to an Oxylog ventilator to simulate respiratory movements-the opening and closing of air channels with breaths in a patient with parapharyngeal abscess. Advanced airway workshop facilitators conducted directed one-to-one learning, and provided feedback to participants. A paper-based feedback was obtained from 72 participants on their confidence level, and the realism, attractiveness, beneficial, and difficulty levels of the simulated cadaveric models. Results The modified cadavers were reliable in simulating difficult airways. The majority of participants (91%) reported an increase in confidence level for management of the difficult airway after the experience with the modified cadavers and found the models realistic (93%), attractive (92%), beneficial (93%), and difficult (85%). Conclusions Surgical modifications of cadavers to simulate difficult airways such as parapharyngeal abscess with edema and stridor can be incorporated into advanced airway management courses to enhance experiential learning in airway management by awake fibreoptic intubation, and promote patient safety.

show abstract

Awake fiberoptic intubation in patients of deep neck infections: experience at rural tertiary care hospital: case series

Cited by 2 publications

References 0 publications

Airway management in a morbidly obese patient with impending airway obstruction

Airway management in a morbidly obese patient with impending airway obstruction

Experiential learning in simulated parapharyngeal abscess in breathing cadavers

Contact Info

Product

Resources

About