Postobstructive pulmonary edema that developed immediately after emergency surgical cricothyroidotomy

Choi, Hanlim; Min, Jin Hong; Kang, Jun Ho; Kim, Hoon; Park, Jung Soo

doi:10.1016/j.ajem.2015.09.018

Cited by 2 publications

(2 citation statements)

References 8 publications

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“… (ii) Successful emergency cricothyroidotomy ICU, elective surgical tracheostomy, recovery Harvey, 92 2012 Awake direct laryngoscopy Stage 4 Prehospital OOHA Unable to ventilate using SGA inserted by paramedics No secondary attempt or intubation attempt Unsuccessful CPR, death Shafiq, 93 2012 Inhalation induction Stage 2 Pre-emptive intubation in OT before transfer to higher centre Multiple attempts to intubate failed with direct laryngoscopy, FOB, or both, unable to visualise glottis because of oedema Successful emergency tracheostomy (spontaneous ventilation maintained) Recovery Barrett, 94 2013 General anaesthesia apnoea (RSI) Stage 3 Progressive deterioration in ED Failed intubation with direct laryngoscopy (no view of glottis because of severe oedema and secretions) Two further attempts at intubation: (i) unsuccessful attempt with videolaryngoscopy (unable to view glottis, or insert tracheal tube or bougie), (ii) successful attempt with direct laryngoscopy and blind insertion of bougie). FMV was difficult but possible between attempts Recovery Choi, 95 2016 Awake direct laryngoscopy Stage 4 Rapid deterioration, peri-arrest in ED Failed intubation (supraglottic oedema occluded airway) then cardiac arrest Successful emergency cricothyroidotomy NPPO, ARDS, hypoxic encephalopathy Lindquist, 96 2017 Inhalation induction Stage 3 Rapid deterioration during transfer to OT from ED (planned AFOI changed to inhalation induction) Failed intubation with videolaryngoscopy (glottis not seen because of very inflamed epiglottis), unable to FMV Successful emergency tracheostomy Recovery Collins, 97 ...…”

Section: Resultsmentioning

confidence: 99%

Airway management of adult epiglottitis: a systematic review and meta-analysis

Booth,

Pungsornruk,

Llewellyn

et al. 2024

BJA Open

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Section: Resultsmentioning

confidence: 99%

Airway management of adult epiglottitis: a systematic review and meta-analysis

Booth,

Pungsornruk,

Llewellyn

et al. 2024

BJA Open

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“…A total of 69 studies, all of which were case series or case reports met final inclusion criteria (Supplemental Table 2). 2,3,9–73 Studies were dated between 1977 and 2016. In total, data from 87 individual patients was accessed across 69 studies.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of Negative Pressure Pulmonary Edema in Otolaryngology Procedures

Din‐Lovinescu

Trivedi

Zhang

et al. 2020

Ann Otol Rhinol Laryngol

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Objective(s): Negative pressure pulmonary edema (NPPE) is a rare perioperative complication with a potentially fatal outcome. The aim of this study was to perform a systematic review of NPPE in adult otolaryngology procedures with the goal of identifying risk factors, clinical presentation, diagnosis, management and outcomes. Methods: Systematic review performed using PubMed, Scopus, Web of Science, and Cochrane databases. Results: Sixty-nine studies including data from 87 individual patients were included in this review. Fifty-six (68%) patients were male and the average patient age was 37 years old. Type 1 NPPE occurred in 63 (72%) cases, while type 2 NPPE accounted for 20 (23%) cases. The most common procedures leading to NPPE were septoplasty, rhinoplasty or sinus surgery (n = 22, 25%), directly laryngoscopy or bronchoscopy (n = 13, 15%), and tracheostomy or cricothyroidotomy (n = 11, 13%). The most employed treatment options included diuretics (n = 55, 63%) and mechanical ventilation (n = 54, 62%). Seventy-eight (90%) patients made a full recovery with an average time to NPPE resolution of 33 hours and an average length of hospitalization of 5.6 days. Five (6%) patients had a long-term morbidity and four (5%) patients died, with age and ICU stay increasing risk for death and long-term morbidity (OR 1.044 and 7.42, respectively, P < .05). Conclusion: Septoplasty, rhinoplasty and sinus surgery account for the majority of NPPE cases in adult otolaryngology procedures. Young, healthy patients are the most commonly involved with a slight male predominance. The vast majority of patients recover fully, however there is a significant risk for morbidity and mortality.

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Postobstructive pulmonary edema that developed immediately after emergency surgical cricothyroidotomy

Cited by 2 publications

References 8 publications

Airway management of adult epiglottitis: a systematic review and meta-analysis

Airway management of adult epiglottitis: a systematic review and meta-analysis

Systematic Review of Negative Pressure Pulmonary Edema in Otolaryngology Procedures

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