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42 Possible Causes for Localized Edema, Tracheal Injury, Upper Airway Obstruction

  • Angioedema

    A general term for a vascular reaction of the deep dermis, subcutaneous or submucosal tissues, which corresponds to localized edema 2º to vasodilation and capillary permeability[medical-dictionary.thefreedictionary.com] The patient with a gun-shot wound to the jaw, the tracheal crush injury, the diabetic with Ludwig’s, and the case of severe angioedema all occur regularly in the airway nightmares[epmonthly.com] Additional treatments Intravenous epinephrine (1:10,000) should be used in patients who demonstrate upper airway obstruction, acute respiratory failure, or shock. [4] Aerosolized[emedicine.com]

  • Laryngeal Edema

    As both these substances are known to cause metabolic acidosis, localized edema, erosion and sensitization of both the respiratory and alimentary tract.[ncbi.nlm.nih.gov] If this is present look for subtle laryngeal and tracheal injury.[radiopaedia.org] The clinical symptoms include skin swelling, abdominal pain, and life-threatening episodes of upper airway obstruction.[ncbi.nlm.nih.gov]

  • Tracheal Edema

    Free Correspondence June 2007 Treatment of Supraglottic Airway Edema by Local Hyaluronidase Author Affiliations & Notes Keshavan H.[anesthesiology.pubs.asahq.org] If this is present look for subtle laryngeal and tracheal injury.[radiopaedia.org] Abstract We report two cases of severe upper airway obstruction caused by supraglottic oedema secondary to adult epiglottitis and Ludwig's angina.[wwww.unboundmedicine.com]

  • Chest Trauma

    In a few cases of acute MR, pulmonary edema localized in the right upper lobe has been reported.[circ.ahajournals.org] Tracheal injury after blunt chest trauma is a rare but life-threatening condition. If diagnosed and treated early, the outcome is excellent.[ncbi.nlm.nih.gov] airway obstruction caused by massive subcutaneous emphysema, Int Care Med, 1984 , vol. 10 (pg. 43 - 44 ) [12] Acute ventilatory failure from massive subcutaneous emphysema[academic.oup.com]

  • Pulmonary Edema

    According to the etiology, edema may be localized (in inflammation or in impaired venous drainage) or systemic (in right heart failure or in nephrotic syndrome).[pathologyatlas.ro] However, invasive ventilation increases the risk for complications including nosocomial infections (pneumonia, sinusitis) and tracheal injury ( Gay 2009 ; Keenan 1997 ).[doi.org] Negative-pressure pulmonary edema is a well-known complication of an acute upper airway obstruction, which may rarely present as acute alveolar hemorrhage in cases of severe[ncbi.nlm.nih.gov]

  • Subcutaneous Emphysema

    Inflammation and edema from infection result in an impaired local blood supply, leading to vascular thrombosis in the cutaneous and subcutaneous tissues.[doi.org] Liver cirrhosis, gastric-fundus variceal bleeding, tracheal injury.[ncbi.nlm.nih.gov] Upper airway obstruction caused by massive subcutaneous emphysema. Intensive Care Med 1984 ; 10 : 43 –4 3 Caraballo V, Barish R, Floccare D.[bja.oxfordjournals.org]

  • Laryngeal Stridor

    This article presents the diagnostic features of conditions a radiologist may encounter in an infant or child with upper airway obstruction.[pubs.rsna.org] Differential diagnosis includes bilateral recurrent laryngeal nerve palsy (BRLNP), local hematoma, vocal cord edema and laryngeal trauma.[signavitae.com] The difficulty in defining the relationship between laryngo-tracheal injury and post-extubation stridor is that the presence of the endotracheal tube precludes direct visualisation[erj.ersjournals.com]

  • Tracheal Foreign Body

    […] reaction such as edema of surrounding tissue and granulation tissue formation, producing symptoms like respiratory distress, wheeze and a mistaken diagnosis of asthma and[ispub.com] These types of foreign bodies are, not surprisingly, the most common associated with tracheal or bronchial injury.[clinicaladvisor.com] See also Upper Airway Obstruction The signs and symptoms of a foreign body in the upper airway or bronchial tree will vary depending upon the site of impaction.[rch.org.au]

  • Ludwig's Angina

    Despite intensive use of antibiotics, Ludwig's angina remains a potentially lethal infection because of the risk of upper airway obstruction and spread into the mediastinum[ncbi.nlm.nih.gov] […] patients intravenous dexamethasone and nebulized adrenaline have been used to reduce upper airway edema to defer or avoid airway instrumentation altogether.[srmjrds.in] A guided intubation is used because blind intubations may lead to injury of the nasal, oral and tracheal mucosa.[ehealthwall.com]

  • Spasmodic Croup

    The local vasoconstriction in the subglottic mucosa produced by epinephrine can generate rapid improvement in symptoms.[hosppeds.aappublications.org] See also Acute upper airway obstruction Inhaled foreign body RCH: Consider Criteria Led Discharge Background viral inflammation of upper airway, larynx, trachea and bronchi[rch.org.au] Other causes of upper-airway obstruction must be considered in the differential diagnosis ( Box 1 ).[mja.com.au]

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