LUDWIG’S ANGINA - A NIGHT MARE : OUR EXPERIENCE

Résumé fourni par la source

INTRODUCTION:Patients with ludwig's angina present challenging airways for anesthesiologist and may die as a result of inability to manage the airway effectively.Successful airway management is critical, but a safe method to control the airway in these patients is yet to be established.METHODS: We retrospectively studied airway management techniques used in 17 patients of Ludwig's Angina, who required surgical drainage over a period of 12 months from January 2010 to December 2010.RESULTS: Of the 17 patients studied, 13 patients were intubated tracheally while 4 patients needed surgical tracheostomy for maintenance of airway.Two patients were intubated using fiberoptic intubation scope, while 11 patients were successfully intubated by direct laryngoscopy.CONCLUSION: Sound clinical judgement is critical for timing and for selecting the method for airway intervention.

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