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Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2/2019

01-02-2019 | Images in Anesthesia

Massive subcutaneous emphysema during bag-mask ventilation after failed intubation

Authors: Peter M. Reardon, MD, Gregory Krolczyk, MD, MS, FRCPC

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 2/2019

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Excerpt

An 84-yr-old woman with a history of obesity and hypertension presented to the Emergency Department with sudden onset of left-sided facial droop, hemiparesis, and dysarthria. After a computed tomography scan showed occlusion of the right cerebral artery, she was administered intravenous thrombolysis with a tissue plasminogen activator. Shortly thereafter, she developed an allergic reaction manifesting as laryngofacial angioedema and required intubation. …
Literature
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Brown CA III, Bair AE, Pallin DJ, Walls RM, NEAR III Investigators. Techniques, success, an adverse events of emergency department adult intubations. Ann Emerg Med 2015; 65: 363-70e1.CrossRefPubMed
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Domino KB, Posner KL, Caplan RA, Cheney FW. Airway injury during anesthesia: a closed claims analysis. Anesthesiology 1999; 91: 1703-11.CrossRefPubMed
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Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg 2004; 99: 607-13.CrossRefPubMed
Metadata
Title
Massive subcutaneous emphysema during bag-mask ventilation after failed intubation
Authors
Peter M. Reardon, MD
Gregory Krolczyk, MD, MS, FRCPC
Publication date
01-02-2019
Publisher
Springer International Publishing
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 2/2019
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-018-1203-2

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