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Severe upper airway obstruction and difficult intubation in cicatricial pemphigoid |
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| Authors: | B. DRENGER M. ZIDENBAUM E. REIFEN E. LEITERSDORF |
| Affiliation: | B. Drenger, MD. Senior Physician, Department of Anaesthesia, Hadassah University Hospital, Ein Karem, PO Box 12000, Jerusalem 91120. Israel.;B. Drenger, MD. Senior Physician, M. Zidenbaum, MD, House Officer, Department of Dermatology, Hadassah University Hospital, Ein Karem, PO Box 12000, Jerusalem 91120. Israel.;E. Reifen, MD, House Officer, Department of Otolaryngology, Hadassah University Hospital, Ein Karem, PO Box 12000, Jerusalem 91120. Israel.;E. Leitersdorf, MD, Senior Physician. Department of Internal Medicine B, Hadassah University Hospital, Ein Karem, PO Box 12000, Jerusalem 91120. Israel. |
| Abstract: | Upper airway obstruction in cicatricial pemphigoid is rarely seen by the anaesthetist. A case of severe dyspnoea due to progressive laryngeal obstruction is presented. Tracheal intubation during induction of general anaesthesia for permanent tracheostomy was extremely difficult and was successfully performed by introducing a size 12 French suction catheter through the stenotic laryngeal orifice. Adequate ventilation was achieved by using the oxygen flush valve to deliver oxygen intermittently through the catheter. |
| Keywords: | Airway obstruction |