Anesthetic Management of Pregnant Female With Ludwig's Angina
A 25 y.o. woman at 22 weeks presented with post-tooth extraction neck pain and swelling. Ultrasound revealed abscesses in the parotid and submandibular spaces, along with fluid collections in the pretracheal and paratracheal fascia. Drainage was planned under GA with propofol, succinylcholine, and RSI. Successful intubation and drainage was performed with a 6.5 cm cuffed endotracheal tube. Post-procedure, the patient was ventilated and monitored in the ICU. Due to extensive airway swelling, a tracheostomy was performed and the patient was subsequently weaned off the ventilator. We will discuss the anesthetic and airway management of a patient with multiple contraindications.
Aggarwal N, Vuthaluru AR, Fowler J, Malhotra K, Soto RG. Anesthetic management of pregnant female with Ludwig's angina. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.