Open AccessLudwig's angina in children anesthesiologist's nightmare: Case series and review of literature
Author(s) -
Maitree Pandey,
Manpreet Kaur,
Manoj Kumar Sanwal,
Aparna Jain,
Sunil K. Sinha
Publication year - 2017
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.214318
Subject(s) - medicine , nightmare , angina , airway , larynx , intubation , anesthesia , cellulitis , surgery , airway management , general surgery , cardiology , psychiatry , myocardial infarction
Ludwig's angina is potentially lethal, rapidly spreading cellulitis of the floor of mouth and neck. The anticipated difficult airway becomes even more challenging when it occurs in children. In children, the larynx is positioned relatively higher in the neck, and one does not have the option for blind nasal intubation or awake fiberoptic, which otherwise is the technique of choice in adult patients. We present the clinical course of 16 children and highlight various problems encountered during the anesthetic management of six children who required emergency surgical drainage under general anesthesia.