Airway management in a patient with bullous pemphigoid.
Airway management in patients with pemphigoid lesions has anaesthetic implications. We report a case of a 23 years old female with bullous pemphigoid who presented with laryngeal stenosis and critical airway narrowing. The airway was initially managed with jet ventilation. Anaesthesia was maintained with propofol infusion and ventilation was performed by introducing a size 10 French gauge suction catheter through the stenotic laryngeal orifice. Thirty minutes into anaesthesia, she developed subcutaneous emphysema and decreased air entry on right side of the chest but remained hemodynamically stable. The airway was further managed by tracheostomy. This case report highlights complications that can occur during the anaesthetic management of such cases.
Department of Anaesthesia, The Aga Khan University Hospital, Karachi, Pakistan.
Mohammad
M
Yasir
Fauzia Anis
FA
Khan
D000328:Adult; D058109:Airway Management / Q000379:methods*; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery; D000758:Anesthesia / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D007829:Laryngostenosis / Q000150:complications* / Q000601:surgery; D010391:Pemphigoid, Bullous / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D015742:Propofol / Q000008:administration & dosage; D013352:Subcutaneous Emphysema / Q000150:complications / Q000601:surgery; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome
D018686:Anesthetics, Intravenous; D015742:Propofol