1/7. Upper airway compression after arthroscopy of the temporomandibular joint.An unusual complication is presented following a temporomandibular arthroscopy carried out under general anaesthesia. Severe cervicofacial oedema occurred immediately after surgery which required prolonged endotracheal intubation. Retrospective analysis revealed a massive fluid escape in the surrounding tissues leading to laryngeal oedema.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/7. Anaesthetic implications of hereditary angioneurotic oedema.Hereditary angioneurotic oedema (HANE) presents the danger of laryngeal oedema that may, among other causes, be triggered by the anaesthetist's manipulation of the patient's airway. Local and regional anaesthesia are usually recommended. This report pertains to a patient who successfully tolerated general endotracheal anaesthesia and whose management included prophylactic treatment with danazol and fresh-frozen plasma.- - - - - - - - - - ranking = 2keywords = anaesthesia (Clic here for more details about this article) |
3/7. Cardiorespiratory arrest with laryngeal oedema in pregnancy-induced hypertension.A 17-year-old black female with pregnancy-induced hypertension (PIH) suffered cardiorespiratory arrest on arrival in the recovery room after Caesarean section under general endotracheal anaesthesia. Successful resuscitation included orotracheal intubation, complicated by severe laryngeal oedema. Causative mechanisms are discussed.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
4/7. Laryngeal oedema as an obstetric anaesthesia complication: case reports.Three cases of laryngeal oedema leading to endotracheal intubation difficulties in obstetric anaesthesia are described. The first case occurred immediately postpartum in a patient who developed a swollen face from strenuous bearing down efforts in the second stage of labour. The other two cases were patients with severe preeclampsia including marked generalized oedema. The possibility of the occurrence of laryngeal oedema with resultant endotracheal intubation difficulties in obstetrics should be remembered when endotracheal intubation is considered to avoid the hazard of acid aspiration. The authors prefer the use of regional anaesthetic techniques (if not contraindicated) in obstetrics, and emphasize the use of prophylactic methods to minimize the risk of acid aspiration in connection with general anaesthesia, particularly where endotracheal intubation may be difficult.- - - - - - - - - - ranking = 6keywords = anaesthesia (Clic here for more details about this article) |
5/7. Difficult intubation following thoracic trauma.A previously fit 20-year-old man presented with a large haemothorax following a stab wound to the left chest. Pre-operative airway assessment indicated that tracheal intubation would be routine. On induction of anaesthesia, visualisation of the larynx proved impossible because of soft tissue swelling. Successful intubation was eventually achieved with the aid of a gum elastic bougie. At operation, the patient's common carotid artery was found to have been perforated close to its origin on the aorta. The patient made an uneventful recovery.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
6/7. Emergency use of the laryngeal mask airway in severe upper airway obstruction caused by supraglottic oedema.We report two cases of severe upper airway obstruction caused by supraglottic oedema which developed rapidly at the time of anaesthesia. Conventional methods to relieve the obstruction failed and it was only overcome when a laryngeal mask airway (LMA) was inserted and positive pressure applied manually during inspiration. In one case a fibrescope was passed via the LMA and this revealed two cushions of oedematous false vocal cords protruding into the bowel of the LMA which were pushed out of the way when positive pressure was applied during inspiration. We believe that the LMA should be considered in the emergency management of severe upper airway obstruction even when this involves supraglottic oedema.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
7/7. Laryngeal oedema associated with pre-eclamptic toxaemia.Pre-eclamptic toxaemia is a common complication of late pregnancy. However, the occurrence of clinically unsuspected laryngeal oedema has not, to the authors' knowledge, been described previously. Experience of such a case leads them to recommend that a selection of tracheal tubes ranging from 8 to 4-5 mm, be available when anaesthesia is undertaken in patients who have oedema associated with pre-eclamptic toxaemia.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |