Acute adult supraglottitis: Difficult intubation & potential airway loss
Acute Adult Supraglottitis (AAS), formerly called epiglottitis, can lead to life-threatening inflammatory oedema of the epiglottis and adjacent structures resulting in constriction of the airway directly over the vocal cords. We are introducing a patient with supraglottitis with mild nonspecific upp...
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| مؤلفون آخرون: | , , , , , |
| التنسيق: | article |
| منشور في: |
2023
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| الموضوعات: | |
| الوصول للمادة أونلاين: | http://dx.doi.org/10.1016/j.tacc.2023.101256 https://www.sciencedirect.com/science/article/pii/S2210844023001211 http://hdl.handle.net/10576/66649 |
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| _version_ | 1857415083733286912 |
|---|---|
| author | Sajeermohammed, Athika |
| author2 | Mathias, Ranjan Shaikh, Nissar Idayathullah, Shajajhan Balal, Abdelrahman Tharayil, Abdul Gaffoor M. Shallik, Nabil A. |
| author2_role | author author author author author author |
| author_facet | Sajeermohammed, Athika Mathias, Ranjan Shaikh, Nissar Idayathullah, Shajajhan Balal, Abdelrahman Tharayil, Abdul Gaffoor M. Shallik, Nabil A. |
| author_role | author |
| dc.creator.none.fl_str_mv | Sajeermohammed, Athika Mathias, Ranjan Shaikh, Nissar Idayathullah, Shajajhan Balal, Abdelrahman Tharayil, Abdul Gaffoor M. Shallik, Nabil A. |
| dc.date.none.fl_str_mv | 2023-06 2025-07-28T11:36:41Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://dx.doi.org/10.1016/j.tacc.2023.101256 Sajeermohammed, A., Mathias, R., Shaikh, N., Idayathullah, S., Balal, A., Tharayil, A. G. M., & Shallik, N. A. (2023). Acute adult supraglottitis: Difficult intubation & potential airway loss. Trends in Anaesthesia and Critical Care, 50, 101256. 2210-8440 https://www.sciencedirect.com/science/article/pii/S2210844023001211 http://hdl.handle.net/10576/66649 50 2210-8467 |
| dc.language.none.fl_str_mv | en |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Adult supraglottitis Acute airway obstruction Emergency tracheostomy Virtual endoscopy Nasal endoscopy |
| dc.title.none.fl_str_mv | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Acute Adult Supraglottitis (AAS), formerly called epiglottitis, can lead to life-threatening inflammatory oedema of the epiglottis and adjacent structures resulting in constriction of the airway directly over the vocal cords. We are introducing a patient with supraglottitis with mild nonspecific upper airway symptoms which proceed swiftly within a few hours resulting in complete occlusion of the airway.Case:A young male was admitted to ICU due to a picture of supraglottitis. A confirmed diagnosis of supraglottitis was done by serial investigations. Ceftriaxone, dexamethasone, and adrenaline nebulization started early. He deteriorated in the next 2 hours, with drooling of oral sections and severe dysphagia. It was decided to perform tracheal intubation in the operating theater (OT) in the presence of an ENT surgeon because no OT is available at this time, so the airway was managed in ICU. Tracheal intubation became impossible despite intubation attempts by senior anesthesiologists using advanced airway devices including Video Laryngoscope, and fiberscope, requiring surgical tracheostomy. He underwent drainage of pockets of pus after the second CT.AAS can lead to life-threatening airway obstruction. A high index of suspicion along with early involvement of multidisciplinary team and close observation in the monitored areas will prevent hypoxic catastrophes. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | qu_d32208bc389f670a00a0707fc743db18 |
| identifier_str_mv | Sajeermohammed, A., Mathias, R., Shaikh, N., Idayathullah, S., Balal, A., Tharayil, A. G. M., & Shallik, N. A. (2023). Acute adult supraglottitis: Difficult intubation & potential airway loss. Trends in Anaesthesia and Critical Care, 50, 101256. 2210-8440 50 2210-8467 |
| language_invalid_str_mv | en |
| network_acronym_str | qu |
| network_name_str | Qatar University repository |
| oai_identifier_str | oai:qspace.qu.edu.qa:10576/66649 |
| publishDate | 2023 |
| publisher.none.fl_str_mv | Elsevier |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| spelling | Acute adult supraglottitis: Difficult intubation & potential airway lossSajeermohammed, AthikaMathias, RanjanShaikh, NissarIdayathullah, ShajajhanBalal, AbdelrahmanTharayil, Abdul Gaffoor M.Shallik, Nabil A.Adult supraglottitisAcute airway obstructionEmergency tracheostomyVirtual endoscopyNasal endoscopyAcute Adult Supraglottitis (AAS), formerly called epiglottitis, can lead to life-threatening inflammatory oedema of the epiglottis and adjacent structures resulting in constriction of the airway directly over the vocal cords. We are introducing a patient with supraglottitis with mild nonspecific upper airway symptoms which proceed swiftly within a few hours resulting in complete occlusion of the airway.Case:A young male was admitted to ICU due to a picture of supraglottitis. A confirmed diagnosis of supraglottitis was done by serial investigations. Ceftriaxone, dexamethasone, and adrenaline nebulization started early. He deteriorated in the next 2 hours, with drooling of oral sections and severe dysphagia. It was decided to perform tracheal intubation in the operating theater (OT) in the presence of an ENT surgeon because no OT is available at this time, so the airway was managed in ICU. Tracheal intubation became impossible despite intubation attempts by senior anesthesiologists using advanced airway devices including Video Laryngoscope, and fiberscope, requiring surgical tracheostomy. He underwent drainage of pockets of pus after the second CT.AAS can lead to life-threatening airway obstruction. A high index of suspicion along with early involvement of multidisciplinary team and close observation in the monitored areas will prevent hypoxic catastrophes.Elsevier2025-07-28T11:36:41Z2023-06Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.tacc.2023.101256Sajeermohammed, A., Mathias, R., Shaikh, N., Idayathullah, S., Balal, A., Tharayil, A. G. M., & Shallik, N. A. (2023). Acute adult supraglottitis: Difficult intubation & potential airway loss. Trends in Anaesthesia and Critical Care, 50, 101256.2210-8440https://www.sciencedirect.com/science/article/pii/S2210844023001211http://hdl.handle.net/10576/66649502210-8467enhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/666492025-07-29T08:36:32Z |
| spellingShingle | Acute adult supraglottitis: Difficult intubation & potential airway loss Sajeermohammed, Athika Adult supraglottitis Acute airway obstruction Emergency tracheostomy Virtual endoscopy Nasal endoscopy |
| status_str | publishedVersion |
| title | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| title_full | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| title_fullStr | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| title_full_unstemmed | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| title_short | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| title_sort | Acute adult supraglottitis: Difficult intubation & potential airway loss |
| topic | Adult supraglottitis Acute airway obstruction Emergency tracheostomy Virtual endoscopy Nasal endoscopy |
| url | http://dx.doi.org/10.1016/j.tacc.2023.101256 https://www.sciencedirect.com/science/article/pii/S2210844023001211 http://hdl.handle.net/10576/66649 |