Abstract：
BACKGROUND:Ludwig's angina (LA) is an infection of the submandibular space, first described by Wilhelm Frederick von Ludwig in 1836. It represents an entity difficult to manage due to the rapid progression and difficulty in maintaining airway patency, a major challenge in medical practice, resulting in asphyxia and death in 8-10% of patients. OBJECTIVE:Describe a case of a patient with Ludwig's angina undergoing surgery, with emphasis on airway management, in addition to reviewing the articles published in the literature on this topic. CASE REPORT:Male patient, 21 years, drug addict, admitted by the emergency department and diagnosed with LA. Difficult airway was identified during the anesthetic examination. In additional tests, significant deviation from the tracheal axis was seen. Undergoing bilateral thoracoscopic pleural drainage, we opted for airway management through tracheal intubation using fiberoptic bronchoscopy, and balanced general anesthesia was proposed. There were no complications during the surgical-anesthetic act. After the procedure, the patient remained intubated and mechanically ventilated in the intensive care unit. CONCLUSIONS:Airway management in patients with Ludwig's angina remains challenging. The choice of the safest technique should be based on clinical signs, technical conditions available, and the urgent need to preserve the patient's life.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Fellini RT,Volquind D,Schnor OH,Angeletti MG,Souza OEdoi
10.1016/j.bjan.2014.10.004subject
Has Abstractpub_date
2017-01-01 00:00:00pages
637-640issue
6eissn
0034-7094issn
1806-907Xpii
S0034-7094(15)00045-8journal_volume
67pub_type
杂志文章abstract：PURPOSE:The i-gel™ is one of the second generation supraglottic airway devices. Our study was designed to compare the i-gel and the Laryngeal Mask Airway Classic™ with respect to the clinical performance. METHODS:We compared the performance of the i-gel with that of the Laryngeal Mask Airway Classic in 120 patients un...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2014.02.009
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:End-tidal carbon dioxide (P ET CO2) not only reflects pulmonary ventilation but also carbon dioxide production (metabolism) and pulmonary blood supply (circulation). During constant metabolism and ventilation, P ET CO2 reflects pulmonary blood perfusion, thus cardiac output (CO). This study ai...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942004000500002
更新日期：2004-10-01 00:00:00
abstract：:The use of analgesia techniques for labor has become increasingly frequent, with neuraxial techniques being the most commonly used and most effective. Labor pain entails a number of physiological consequences that may be negative for the mother and fetus, and therefore must be treated. This literature review was perfo...
journal_title：Revista brasileira de anestesiologia
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doi：10.1016/j.bjan.2018.12.001
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abstract：BACKGROUND AND OBJECTIVES:Bupivacaine preparations, plain or with glucose, are frequently used in the clinical practice. Blockade upper level is determined by local anesthetic spread in the CSF. This study aimed at comparing isobaric and hyperbaric bupivacaine in patients submitted to spinal anesthesia for Cesarean sec...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
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更新日期：2003-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:In shoulder arthroscopy, on an outpatient basis, the patient needs a good control of the postoperative pain that can be achieved through regional blocks. Perineural dexamethasone may prolong the effect of these blocks. The aim of this study was to evaluate the effect of perineural dexamethason...
journal_title：Revista brasileira de anestesiologia
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abstract：BACKGROUND AND OBJECTIVES:The administration of antifibrinolytics has been shown to be effective in reducing blood loss and the need for transfusions in surgeries. However, few studies have evaluated these drugs in cancer surgery. The objective was to review the efficacy and safety of the treatment with antifibrinolyti...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,meta分析
doi：10.1016/j.bjan.2019.06.005
更新日期：2019-01-01 00:00:00
abstract：INTRODUCTION:The primary purpose of this study was to compare the effect of high fidelity simulation versus a computer-based case solving self-study, in skills acquisition about malignant hyperthermia on first year anesthesiology residents. METHODS:After institutional ethical committee approval, 31 first year anesthes...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2018.01.005
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Aortic flow suppression and release during aortic procedures promote major hemodynamic disorders. This study aimed at evaluating these disorders in dogs anesthetized with isoflurane or sevoflurane. METHODS:This study involved 41 dogs divided in two groups according to the anesthetic agent use...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942006000300004
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:Sevoflurane is an inhalational agent of choice in paediatric anaesthesia. For management of airways in children a suitable alternative to ETT is a paediatric proseal laryngeal mask airway (benchmark second generation SAD). Various studies have shown that less sevoflurane concentration is required for LMA ins...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2014.07.012
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abstract：BACKGROUND AND OBJECTIVES:Combined spinal-epidural (CSE) has become an increasingly popular alternative to traditional labour epidural due to its rapid onset and reliable analgesia provided. This was a prospective, convenient sampling study to determine the effects of CSE analgesia on labour outcome. METHODS:One hundr...
journal_title：Revista brasileira de anestesiologia
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abstract：BACKGROUND AND OBJECTIVES:Off-pump CABG surgery is related to major and abrupt hemodynamic changes that may not be immediately detected by continuous cardiac output measurement (CCO). This study aimed at comparing results of cardiac index measurement with pulmonary artery catheter (PAC) with thermal filament (Baxter Ed...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942004000300005
更新日期：2004-06-01 00:00:00
abstract：:We presented a 39-year-old female patient with life-threatening hypoxemia after tricuspid valve replacement because of Ebstein's anomaly. And the severe cyanosis is due to bioprosthetic valve stenosis and atrial septal defect. Anesthetic management of a patient with severe obstructive prosthetic valve dysfunction can ...
journal_title：Revista brasileira de anestesiologia
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doi：10.1016/j.bjan.2018.06.010
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Magnesium is predominantly an intracellular ion. Its blocking effects on NMDA receptors are responsible for the analgesic and sedative characteristics of this ion. The objective of this study was to review the physiology, pharmacology, and decreased plasma levels of magnesium, as well as its a...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,评审
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更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:A prospective, randomized and double-blind study was planned to identify the optimum dose of esmolol infusion to suppress the increase in bispectral index values and the movement and hemodynamic responses to tracheal intubation. MATERIALS AND METHODS:120 patients were randomly allocated to one of three group...
journal_title：Revista brasileira de anestesiologia
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doi：10.1016/j.bjan.2013.09.008
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:There are several approaches to the brachial plexus depending on the experience of the anesthesiologist and the site of the surgery. Posterior brachial plexus block may be an alternative for shoulder, clavicle and proximal humerus surgery. This study aims at presenting the results of patients ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942005000400006
更新日期：2005-08-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The adequate maintenance of inhaled gases temperature during anesthetic procedures is critical to prevent perioperative respiratory complications. This study aimed at comparing the ability to warm up inhaled gases of coaxial breathing system and conventional system, by varying fresh gas flows ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942005000100008
更新日期：2005-02-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Shivering is a cause of discomfort and dissatisfaction in patients undergoing cesarean section. The objective of this study paper was to assess the impact of intrathecal administration of sufentanil on the incidence of shivering after cesarean section. METHOD:In a prospective blinded, randomi...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,随机对照试验
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abstract：BACKGROUND AND OBJECTIVES:Pain is an aggravating factor in postoperative morbidity and mortality especially in large size surgeries. Methods to effectively fend pain collide with elevated costs and for this reason they are not accessible in every service. The option would be the use of an opioid with long half-life, su...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,随机对照试验
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abstract：BACKGROUND AND OBJECTIVES:Problems with pediatric airways are among the greatest challenges an anesthesiologist can face. Laryngeal spasm, which is twice or three times more frequent in the pediatric population, is paramount. The objective of this work was to report the treatment of laryngeal spasm applying digital pre...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,随机对照试验
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更新日期：2012-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
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更新日期：2019-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2015.09.007
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Although acute and chronic pain are usually controlled with pharmacological interventions, 14 complementary methods of adjuvant and alternative analgesia (AAA) may reduce the abusive prescription of analgesics and the side effects that eventually compromise the patient's physiological status. ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
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更新日期：2006-10-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
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更新日期：2010-11-01 00:00:00
abstract：INTRODUCTION:Klippel-Trenaunay syndrome is a rare congenital vascular disease characterized by cutaneous hemangiomas, varicosities, and limb asymmetry, which may evolve with coagulation disorders and hemorrhage as those more frequent complications in pregnant patients. Pregnancy is not advised in women with this syndro...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
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abstract：:Post-operative pain management is a significant problem in clinical practice in Latin America. Insufficient or inappropriate pain management is in large part due to insufficient knowledge, attitudes and education, and poor communications at various levels. In addition, the lack of awareness of the availability and imp...
journal_title：Revista brasileira de anestesiologia
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doi：10.1016/j.bjan.2016.04.011
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The discontinuation of drugs such as angiotensin-converting enzyme inhibitors (ACE inhibitors) has been suggested based on reports of hypotension during anesthesia. This may imply on a higher risk of intraoperative hypertensive peaks with deleterious consequences for the patient. The objective...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:The occurrence of acute myocardial infarction (AMI) during pregnancy is rare. The authors describe the case of MI in a 31-week pregnant woman and the importance of a multidisciplinary team for its approach. CASE REPORT:Thirty-one week pregnant woman with history of smoking, alcoholism and hyp...
journal_title：Revista brasileira de anestesiologia
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