An Extubation Protocol for Angioedema:

OTO Open

ElizabethFloyd¹ 

关键词: angioedema;    angiotensin-converting enzyme inhibitor;    cuff leak;    direct laryngoscopy;   

DOI  :  10.1177/2473974X17691230

学科分类：外科医学

来源: Sage Journals

【 摘 要 】

Angioedema—nonpitting edema of the mucous membranes and skin—most commonly occurs as a complication from the use of angiotensin-converting enzyme inhibitors. At our institution, the otolaryngology department has incorporated the use of the endotracheal tube cuff-leak test and bedside direct laryngoscopy to aid in timing for extubation of angioedema patients. Prospective data collection of patients presenting to the emergency department with angioedema was performed. Of 76 patients with angioedema, 9 required fiberoptic intubation. Intubation was performed at a median of 73 hours (range, 44-118). An endotracheal tube cuff-leak test was performed in 7 patients prior to extubation, and bedside direct laryngoscopy was also performed in 3 of these 7 patients to document resolution of laryngeal edema. The use of the endotracheal tube cuff-leak test and bedside direct laryngoscopy is an easy and inexpensive method to help determine eligibility for extubation in patients intubated for angioedema.

【 授权许可】

CC BY-NC