title: Massive postoperative swelling of the tongue: manual decompression and tactile intubation as a life-saving measure.
abstract: Massive swelling of the tongue due to haemorrhage is a rare but potentially fatal complication secondary to trauma, surgery, tumour invasion or uncontrolled anticoagulant therapy. This article presents a report of bleeding from the left lingual artery secondary to elective excision of a lipoma of the floor of the mouth and subsequent life-threatening upper airway obstruction. In this case, the upper airway obstruction was managed by manual decompression of the tongue and tactile nasal intubation. To our knowledge this case provides the first description of using this method in life-threatening upper airway obstruction caused by massive haemorrhagic swelling of the tongue.
authors.affiliation: Department of Anaesthesiology and Intensive Care Medicine, Klinikum of the City Ludwigshafen, Germany.
authors.forename: S N
authors.initials: SN
authors.lastname: Piper
authors.forename: W H
authors.initials: WH
authors.lastname: Maleck
authors.forename: B
authors.initials: B
authors.lastname: Kumle
authors.forename: E
authors.initials: E
authors.lastname: Deschner
authors.forename: J
authors.initials: J
authors.lastname: Boldt
mesh_terms: D000402:Airway Obstruction / Q000628:therapy; D001158:Arteries / Q000601:surgery; D003131:Combined Modality Therapy; D003664:Decompression / Q000379:methods*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008067:Lipoma / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009060:Mouth Floor; D009062:Mouth Neoplasms / Q000150:complications / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000628:therapy*; D014059:Tongue / Q000098:blood supply; D014060:Tongue Diseases / Q000628:therapy*