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Anaesthetic Challenges in a Patient of Ludwig's Angina: A Case Report

Anaesthesiologists have difficult airways to manage while treating patients with severe neck infections. Ludwig's angina patients who are unable to adequately control their airways may pass away. In this article, we go through the anaesthetic management during an emergency drainage procedure fo...

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Detalles Bibliográficos
Autores principales: Movva, Haneesha, Taksande, Karuna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9676709/
https://www.ncbi.nlm.nih.gov/pubmed/36415440
http://dx.doi.org/10.7759/cureus.30570
Descripción
Sumario:Anaesthesiologists have difficult airways to manage while treating patients with severe neck infections. Ludwig's angina patients who are unable to adequately control their airways may pass away. In this article, we go through the anaesthetic management during an emergency drainage procedure for Ludwig's angina. In severe cases of Ludwig's angina, awake fiberoptic intubation under topical anaesthetic is the most effective strategy to maintain the airway. An awake tracheostomy may be the best alternative when awake fiberoptic bronchoscopy is not possible.