Point-of-Care Sonographic Findings in Acute Upper Airway Edema
We describe a case where a patient presented with acute angiotensin-converting enzyme inhibitor (ACE-I) induced angioedema without signs or symptoms of upper airway edema beyond lip swelling. Point-of-care ultrasound (POCUS) was used as an initial diagnostic test and identified left-sided subglottic...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2016-11-01
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| Series: | Western Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://escholarship.org/uc/item/0z66n0v7 |
| _version_ | 1811259462100451328 |
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| author | Michael Schick Kendra Grether-Jones |
| author_facet | Michael Schick Kendra Grether-Jones |
| author_sort | Michael Schick |
| collection | DOAJ |
| description | We describe a case where a patient presented with acute angiotensin-converting enzyme inhibitor (ACE-I) induced angioedema without signs or symptoms of upper airway edema beyond lip swelling. Point-of-care ultrasound (POCUS) was used as an initial diagnostic test and identified left-sided subglottic upper airway edema that was immediately confirmed with indirect fiberoptic laryngoscopy. ACE-I induced angioedema and the historical use of ultrasound in evaluation of the upper airway is briefly discussed. To our knowledge, POCUS has not been used to identify acute upper airway edema in the emergency setting. Further investigation is needed to determine if POCUS is a sensitive and specific-enough tool for the identification and evaluation of acute upper airway edema. |
| first_indexed | 2024-04-12T18:31:57Z |
| format | Article |
| id | doaj.art-499e62d319c34f0f9b4afb6565e3431b |
| institution | Directory Open Access Journal |
| issn | 1936-900X 1936-9018 |
| language | English |
| last_indexed | 2024-04-12T18:31:57Z |
| publishDate | 2016-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-499e62d319c34f0f9b4afb6565e3431b2022-12-22T03:21:03ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182016-11-0117682582910.5811/westjem.2016.9.31528Point-of-Care Sonographic Findings in Acute Upper Airway EdemaMichael Schick0Kendra Grether-Jones1UC DavisUC DavisWe describe a case where a patient presented with acute angiotensin-converting enzyme inhibitor (ACE-I) induced angioedema without signs or symptoms of upper airway edema beyond lip swelling. Point-of-care ultrasound (POCUS) was used as an initial diagnostic test and identified left-sided subglottic upper airway edema that was immediately confirmed with indirect fiberoptic laryngoscopy. ACE-I induced angioedema and the historical use of ultrasound in evaluation of the upper airway is briefly discussed. To our knowledge, POCUS has not been used to identify acute upper airway edema in the emergency setting. Further investigation is needed to determine if POCUS is a sensitive and specific-enough tool for the identification and evaluation of acute upper airway edema.http://escholarship.org/uc/item/0z66n0v7AngioedemaPOCUSpoint-of-care-ultrasoundairway edema |
| spellingShingle | Michael Schick Kendra Grether-Jones Point-of-Care Sonographic Findings in Acute Upper Airway Edema Western Journal of Emergency Medicine Angioedema POCUS point-of-care-ultrasound airway edema |
| title | Point-of-Care Sonographic Findings in Acute Upper Airway Edema |
| title_full | Point-of-Care Sonographic Findings in Acute Upper Airway Edema |
| title_fullStr | Point-of-Care Sonographic Findings in Acute Upper Airway Edema |
| title_full_unstemmed | Point-of-Care Sonographic Findings in Acute Upper Airway Edema |
| title_short | Point-of-Care Sonographic Findings in Acute Upper Airway Edema |
| title_sort | point of care sonographic findings in acute upper airway edema |
| topic | Angioedema POCUS point-of-care-ultrasound airway edema |
| url | http://escholarship.org/uc/item/0z66n0v7 |
| work_keys_str_mv | AT michaelschick pointofcaresonographicfindingsinacuteupperairwayedema AT kendragretherjones pointofcaresonographicfindingsinacuteupperairwayedema |