Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina
Ludwig's angina is a rapidly progressive and life-threatening medical emergency. The mortality rate is about 8%. Management of the difficult airway in Ludwig's angina has been challenging for clinical physicians. We reported an otherwise healthy 49-year-old female, who visited our emergenc...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2019-01-01
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Series: | Journal of Medical Ultrasound |
Subjects: | |
Online Access: | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2019;volume=27;issue=2;spage=101;epage=103;aulast= |
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author | Chang-Chih Shih Jen-Chun Wang Sy-Jou Chen Yuan-Pin Hsu |
author_facet | Chang-Chih Shih Jen-Chun Wang Sy-Jou Chen Yuan-Pin Hsu |
author_sort | Chang-Chih Shih |
collection | DOAJ |
description | Ludwig's angina is a rapidly progressive and life-threatening medical emergency. The mortality rate is about 8%. Management of the difficult airway in Ludwig's angina has been challenging for clinical physicians. We reported an otherwise healthy 49-year-old female, who visited our emergency department with progressive swelling of her chin, drooling, and dyspnea. Ludwig's angina with impending airway compromise was promptly identified. The precise anatomy of the distorted neck was accessed using ultrasound as an adjunct. Emergent tracheostomy was then established successfully within minutes. Physicians should consider using ultrasound as an adjunct to define anatomy before performing emergent surgical airways. |
first_indexed | 2024-04-13T13:33:33Z |
format | Article |
id | doaj.art-25bc15d27c524ba18a6906d0580962a0 |
institution | Directory Open Access Journal |
issn | 0929-6441 2212-1552 |
language | English |
last_indexed | 2024-04-13T13:33:33Z |
publishDate | 2019-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Medical Ultrasound |
spelling | doaj.art-25bc15d27c524ba18a6906d0580962a02022-12-22T02:44:53ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522019-01-0127210110310.4103/JMU.JMU_95_18Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's anginaChang-Chih ShihJen-Chun WangSy-Jou ChenYuan-Pin HsuLudwig's angina is a rapidly progressive and life-threatening medical emergency. The mortality rate is about 8%. Management of the difficult airway in Ludwig's angina has been challenging for clinical physicians. We reported an otherwise healthy 49-year-old female, who visited our emergency department with progressive swelling of her chin, drooling, and dyspnea. Ludwig's angina with impending airway compromise was promptly identified. The precise anatomy of the distorted neck was accessed using ultrasound as an adjunct. Emergent tracheostomy was then established successfully within minutes. Physicians should consider using ultrasound as an adjunct to define anatomy before performing emergent surgical airways.http://www.jmuonline.org/article.asp?issn=0929-6441;year=2019;volume=27;issue=2;spage=101;epage=103;aulast=Airway managementfocused ultrasoundLudwig's angina |
spellingShingle | Chang-Chih Shih Jen-Chun Wang Sy-Jou Chen Yuan-Pin Hsu Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina Journal of Medical Ultrasound Airway management focused ultrasound Ludwig's angina |
title | Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina |
title_full | Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina |
title_fullStr | Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina |
title_full_unstemmed | Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina |
title_short | Focused ultrasound assists in diagnosis and management of difficult airway in Ludwig's angina |
title_sort | focused ultrasound assists in diagnosis and management of difficult airway in ludwig s angina |
topic | Airway management focused ultrasound Ludwig's angina |
url | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2019;volume=27;issue=2;spage=101;epage=103;aulast= |
work_keys_str_mv | AT changchihshih focusedultrasoundassistsindiagnosisandmanagementofdifficultairwayinludwigsangina AT jenchunwang focusedultrasoundassistsindiagnosisandmanagementofdifficultairwayinludwigsangina AT syjouchen focusedultrasoundassistsindiagnosisandmanagementofdifficultairwayinludwigsangina AT yuanpinhsu focusedultrasoundassistsindiagnosisandmanagementofdifficultairwayinludwigsangina |