Massive Bleeding Tongue Hematoma in an Alcoholic, Requiring Advanced Airway and Critical Care
We present a patient with acute airway obstruction from tongue hematoma. 44y.o. male with history of alcohol abuse and multiple related complications including atrial fibrillation on Xarelto. He presented to the Emergency Room with a massive tongue hematoma and bleeding, 2 days after his last drink. Xarelto reversed with PCC and the patient was taken emergently to the OR for Fiberoptic nasal intubation, drain placement and then admitted to the ICU. Tongue swelling decreased and he was extubated 9 days after initial presentation after which he was transferred out of the ICU and eventually home with multidisciplinary follow up.
Constantinescu S, Kadi B, Aiello A. Massive bleeding tongue hematoma in an alcoholic, requiring advanced airway and critical care. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 14; San Francisco, CA.