[Impossibility of intubation due to angioedema secondary to an angiotensin-converting enzyme inhibitor].
Angioedema secondary to treatment of one year's duration with angiotensin converting enzyme inhibitor (ACEI) (lisinopril) in a 56-year-old man scheduled for elective cardiac surgery led unexpectedly to impossible intubation. Surgical access (tracheostomy) was required when airway control was threatened. We review the clinical course, etiology and treatment of angioedema secondary to ACEI therapy. This is a life threatening complication which, though rare, is becoming increasingly frequent with increased use of such drugs.
Maestre
M L
ML
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital de la Santa Creu i Sant Pau, Barcelona.
Litvan
H
H
Galán
F
F
Puzo
C
C
Villar Landeira
J M
JM
D000799:Angioedema / Q000139:chemically induced* / Q000473:pathology; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects* / Q000494:pharmacology; D001999:Bronchoscopy; D001026:Coronary Artery Bypass; D017558:Elective Surgical Procedures; D005336:Fiber Optic Technology; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000473:pathology; D007442:Intubation, Intratracheal; D007819:Laryngeal Edema / Q000139:chemically induced* / Q000473:pathology; D007828:Laryngoscopy; D017706:Lisinopril / Q000009:adverse effects* / Q000494:pharmacology; D008297:Male; D008875:Middle Aged; D009960:Oropharynx / Q000473:pathology; D014139:Tracheostomy
D000806:Angiotensin-Converting Enzyme Inhibitors; D017706:Lisinopril