A surprising cause of wheezing in a morbidly obese patient: a case report

Autor: Kurnutala LN, Joshi M, Kamath H, Yarmush J
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: International Medical Case Reports Journal, Vol 2014, Iss default, Pp 143-145 (2014)
Druh dokumentu: article
ISSN: 1179-142X
Popis: Lakshmi N Kurnutala, Minal Joshi, Hattiyangadi Kamath, Joel Yarmush Department of Anesthesiology, New York Methodist Hospital, Brooklyn, NY, USA Abstract: A typical patient with chronic obstructive pulmonary disease has small airway disease, which often responds to bronchodilators. If the patient is obese, he or she may be further compromised and not tolerate being in the supine position. We present a case of a patient with history of chronic obstructive pulmonary disease and obstructive sleep apnea with acute renal failure and urosepsis scheduled for an emergent debridement of Fournier's gangrene. In this patient, the fiberoptic intubation was performed in semi-Fowler's position, and tracheomalacia was observed. Keywords: tracheomalacia, difficult airway, fiberoptic intubation, COPD
Databáze: Directory of Open Access Journals