Abstract

The authors present two cases of acute epiglottitis with upper airway obstruction that urgently needed artificial airways. In case 1, a 55-year-old woman with DM presented with severe upper airway obstruction and sepsis. The tracheostomy was chosen for airway management, antibiotic was given, and fluid and inotropic drug (dopamine) were used for cardiovascular support. She received continuing care in the intensive care unit for several days. In case 2, a 40-year-old man presented with acute airway obstruction when he breathed forcefully. The prophylaxis tracheal intubation was done by using sevoflurane inhalation. The life-threatening situations of both patients were managed successfully by the team approach of ENT surgeons, anesthesiologists, and intensivists.

Authors

Raksakietisak M, Chongkolwatana C

Institution

Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Phranok Rd, Bangkoknoi, Bangkok 10700, Thailand. simrs@mahidol.ac.th

Source

Journal of the Medical Association of Thailand = Chotmaihet thangphaet 89:12 2006 Dec pg 2138-41

MeSH

Acute Disease
Adult
Airway Obstruction
Epiglottitis
Female
Humans
Intubation, Intratracheal
Male
Middle Aged
Respiration, Artificial
Tracheostomy

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17214068