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Airway management in a patient with bullous pemphigoid.

Authors
Type
Published Article
Journal
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Publication Date
Volume
23
Issue
8
Pages
583–585
Identifiers
DOI: 08.2013/JCPSP.583585
PMID: 23930877
Source
Medline
License
Unknown

Abstract

Airway management in patients with pemphigoid lesions has anaesthetic implications. We report a case of a 23 years old female with bullous pemphigoid who presented with laryngeal stenosis and critical airway narrowing. The airway was initially managed with jet ventilation. Anaesthesia was maintained with propofol infusion and ventilation was performed by introducing a size 10 French gauge suction catheter through the stenotic laryngeal orifice. Thirty minutes into anaesthesia, she developed subcutaneous emphysema and decreased air entry on right side of the chest but remained hemodynamically stable. The airway was further managed by tracheostomy. This case report highlights complications that can occur during the anaesthetic management of such cases.

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