[Acute obstructive epiglottitis in intensive care unit: which airway management strategy?].
Acute epiglottitis is an infection of supraglottic structures, with a high risk of life-threatening respiratory obstruction. We report a case of a 52-year-old patient who presented with a prehospital hypoxic respiratory arrest caused by obstructive oedema with a successful resuscitation. Laryngoscopy after a sudden unplanned extubation permits diagnosis of acute obstructive epiglottitis. The growing threat of laryngeal dyspnea prompts emergency tracheal airway protection, by means of the combined preparation of transtracheal oxygenation access and the use of fiber-optic laryngoscopy. This case report emphasises the airway management strategy successfully used in this patient.
Lilot
M
M
Département d'anesthésie-réanimation-urgences, hôpital d'instruction des armées de Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
Petitjeans
F
F
Wey
P-F
PF
Eve
O
O
Puidupin
M
M
D000208:Acute Disease; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D003422:Critical Care; D004417:Dyspnea / Q000209:etiology / Q000628:therapy; D004487:Edema / Q000150:complications; D004826:Epiglottitis / Q000628:therapy*; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000628:therapy; D007362:Intensive Care Units; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000628:therapy; D012151:Resuscitation