Ludwig's angina and airway considerations: A case report

Anand H. Kulkarni; Swarupa D. Pai; Basant Bhattarai; Sumesh T. Rao; M. Ambareesha

doi:10.1186/1757-1626-1-19

Ludwig's angina and airway considerations: A case report

Anand H. Kulkarni, Swarupa D. Pai, Basant Bhattarai, Sumesh T. Rao, M. Ambareesha

Department of Anaesthesiology, Kasturba Medical College, Mangalore

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

Introduction: Patients with deep neck infections present challenging airways for an anesthesiologist. Patients with Ludwig's angina may die as a result of the inability to effectively manage the airway.

Case presentation: Here we discuss the anesthetic management with fiberoptic intubation of a 45-year-old man with Ludwig's angina scheduled for emergency drainage.

Conclusion: Awake fiberoptic intubation under topical anesthesia may be the ideal method to secure the airway in advanced cases of Ludwig's angina. When fiberoptic bronchoscopy is not feasible, not available or has failed, an awake tracheostomy may be the preferred option.

Original language	English
Article number	19
Journal	Cases Journal
Volume	1
Issue number	1
DOIs	https://doi.org/10.1186/1757-1626-1-19
Publication status	Published - 20-06-2008

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1186/1757-1626-1-19

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N2 - Introduction: Patients with deep neck infections present challenging airways for an anesthesiologist. Patients with Ludwig's angina may die as a result of the inability to effectively manage the airway.Case presentation: Here we discuss the anesthetic management with fiberoptic intubation of a 45-year-old man with Ludwig's angina scheduled for emergency drainage.Conclusion: Awake fiberoptic intubation under topical anesthesia may be the ideal method to secure the airway in advanced cases of Ludwig's angina. When fiberoptic bronchoscopy is not feasible, not available or has failed, an awake tracheostomy may be the preferred option.

AB - Introduction: Patients with deep neck infections present challenging airways for an anesthesiologist. Patients with Ludwig's angina may die as a result of the inability to effectively manage the airway.Case presentation: Here we discuss the anesthetic management with fiberoptic intubation of a 45-year-old man with Ludwig's angina scheduled for emergency drainage.Conclusion: Awake fiberoptic intubation under topical anesthesia may be the ideal method to secure the airway in advanced cases of Ludwig's angina. When fiberoptic bronchoscopy is not feasible, not available or has failed, an awake tracheostomy may be the preferred option.

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Ludwig's angina and airway considerations: A case report

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