Awake fibre Optic Intubation with Dexmedetomidine for Ludwig Angina with Severe Trismus
- Author:
Mohd Zulfakar MAZLAN
1
;
Nik Abdullah Nik Mohammad
;
Mohamad Hasyizan HASAN
;
Irfan MOHAMAD
;
Zeti Norfidiyati SALMUNA
;
Roselinda Ab RAHMAN
Author Information
1. Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia
- Publication Type:Journal Article
- Keywords:
Ludwig angina;
Upper airway obstruction;
Awake fibre optic intubation
- From:Malaysian Journal of Medicine and Health Sciences
2018;14(2):89-92
- CountryMalaysia
- Language:English
-
Abstract:
Ludwig angina is a submandibular space cellulitis secondary to oral cavity infection. It is strongly associated with difficult intubation due to limitation in the mouth opening. The presentation of Ludwig angina varies according to the severity of the infection. The extreme presentations include upper airway obstruction and respiratory failure. We present a female teenager with right submandibular abscess as the consequence of Ludwig angina, who was planned for incision and drainage. Successful awake fibre optic intubation was performed as a method of induction due to trismus, deferring the need for tracheostomy.
- Full text:11.2018my0254.pdf
