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Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke.
Ann Emerg Med. 2001 Oct; 38(4):447-9.AE

Abstract

Hemorrhagic complications of tissue plasminogen activator (tPA) are well known. We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need for thorough preadministration physical examination, as well as careful monitoring during infusion and after administration of this potent therapeutic agent.

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Authors+Show Affiliations

Shaps HJ
Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY 11030, USA. hshaps@pol.net
Snyder GE
No affiliation info available
Sama AE
No affiliation info available
Rudolph GS
No affiliation info available

MeSH

AgedAirway ObstructionBrain IschemiaFemaleFollow-Up StudiesHematomaHumansIntubation, IntratrachealRespiration, ArtificialRisk AssessmentStrokeTissue Plasminogen ActivatorTongue Diseases

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11574803

Citation

Shaps, H J., et al. "Airway Compromise Secondary to Lingual Hematoma Complicating Administration of Tissue Plasminogen Activator for Acute Ischemic Stroke." Annals of Emergency Medicine, vol. 38, no. 4, 2001, pp. 447-9.
Shaps HJ, Snyder GE, Sama AE, et al. Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. Ann Emerg Med. 2001;38(4):447-9.
Shaps, H. J., Snyder, G. E., Sama, A. E., & Rudolph, G. S. (2001). Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. Annals of Emergency Medicine, 38(4), 447-9.
Shaps HJ, et al. Airway Compromise Secondary to Lingual Hematoma Complicating Administration of Tissue Plasminogen Activator for Acute Ischemic Stroke. Ann Emerg Med. 2001;38(4):447-9. PubMed PMID: 11574803.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. AU - Shaps,H J, AU - Snyder,G E, AU - Sama,A E, AU - Rudolph,G S, PY - 2001/9/28/pubmed PY - 2001/11/3/medline PY - 2001/9/28/entrez SP - 447 EP - 9 JF - Annals of emergency medicine JO - Ann Emerg Med VL - 38 IS - 4 N2 - Hemorrhagic complications of tissue plasminogen activator (tPA) are well known. We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need for thorough preadministration physical examination, as well as careful monitoring during infusion and after administration of this potent therapeutic agent. SN - 0196-0644 UR - https://www.unboundmedicine.com/medline/citation/11574803/Airway_compromise_secondary_to_lingual_hematoma_complicating_administration_of_tissue_plasminogen_activator_for_acute_ischemic_stroke_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0644(01)49743-5 DB - PRIME DP - Unbound Medicine ER -