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Severe upper airway obstruction and difficult intubation in cicatricial pemphigoid
Author(s) -
DRENGER B.,
ZIDENBAUM M.,
REIFEN E.,
LEITERSDORF E.
Publication year - 1986
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1986.tb12748.x
Subject(s) - medicine , airway obstruction , intubation , suction , cicatricial pemphigoid , surgery , anesthesia , airway , catheter , general anaesthesia , pemphigoid , bullous pemphigoid , mechanical engineering , antibody , engineering , immunology
Summary Upper airway obstruction in cicatricial pemphigoid is rarely seen by the anaesthetist. A case of severe dyspnoea due to progressive laryngeal obstruction is presented. Tracheal intubation during induction of general anaesthesia for permanent tracheostomy was extremely difficult and was successfully performed by introducing a size 12 French suction catheter through the stenotic laryngeal orifice. Adequate ventilation was achieved by using the oxygen flush valve to deliver oxygen intermittently through the catheter.