Clinical and Medical Case Reports

Dept of anaesthesia, Hillingdon Hospital, Uxbridge UB8 3NN, United Kingdom

Publications

• Case Report   
  Tongue Ulceration and Swelling Following Peri-operative Airway Management with I-Gel
  Author(s): Alpen Shah* and Ritu Gupta
  
  IIntroduction: Tongue swelling is one of the most common complications of endotracheal tube intubation associated with these devices. We present a rare complication of macroglossia following the use of an i-gel device. History: A 25-year-old male patient was admitted following a motorcycle accident resulting in a left sided tibia-fibula fracture. He underwent a reduction with an intramedullary nail fixation. General anaesthesia time was approximately three hours and the airway was maintained with a size 5 i-gel device. Following extubation a large ulcer was noted on the dorsum of the tongue with an associated significant swelling causing dysphagia. It was noted that the patient was drooling and had dysphonia. Nasoendoscopy revealed vocal cord oedema. Concerns were raised of the safety of the airway an he was admitted to ITU. The patient responded well to nebulised adrenaline and dexam.. Read More»
  DOI: 10.37421/cmcr.2021.05.06

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