Ludwigs Angina

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Dharmesh Ladhad - One of the best experts on this subject based on the ideXlab platform.

  • Awake Fiberoptic Intubation for the Drainage of Ludwigs Angina in a Pregnant Patient; A Case Report
    Journal of Anesthesia & Clinical Research, 2015
    Co-Authors: Desai S, Dharmesh Ladhad
    Abstract:

    Ludwig’s Angina is a potentially lethal, rapidly spreading cellulitis involving the sublingual and submandibular spaces leading to difficult airway. Associated pregnancy makes airway management and choice of anesthesia further difficult. There are previously reported cases of drainage of Ludwig’s Angina in pregnant woman managed with superficial cervical plexus block and other regional techniques. We report a case of drainage of Ludwig’s Angina in a pregnant woman, conducted under general anesthesia with awake fiberoptic intubation. The options of regional anesthesia vs. general anesthesia for management of Ludwig’s Angina in pregnant patient are discussed.

Colby Jacobson - One of the best experts on this subject based on the ideXlab platform.

  • Ludwigs Angina: Management Through Awake Intubation
    Westminster College, 2013
    Co-Authors: Colby Jacobson
    Abstract:

    The occurrence of Ludwigs Angina (LA) in some populations and geographical areas is rare, but in others its occurrence is a regular challenge. It is possible that many providers may never manage a patient suffering from this phenomenon, but its management is applicable to most types of emergency airway management. The event of LA is an acute inflammatory response to pathogens introduced to the airway tissues. This article will recount the events that took place in one case involving an ambulatory patient that presented in the emergency center with respiratory distress. The decline of the patients respiratory status was due to airway tissue inflammation following dental care. The patient was immediately transferred to an operating room where an awake intubation was accomplished and an incision and drainage of the affected tissue was completed following the intubation. The article includes the basics of airway management with LA or other diseases that require spontaneous ventilation. This condition is one of many true airway emergencies and their management must be handled in a step wise approach. It is imperative that spontaneous ventilation be maintained and that the anesthesia provider always be able to retreat to a safe area where the patient is able to maintain their own airway

Sherry Peter - One of the best experts on this subject based on the ideXlab platform.

  • Ludwigs Angina: Report of a case with extensive discussion on its management
    Universal Research Journal of Dentistry, 2015
    Co-Authors: Ajoy Vijayan, Joy R Das, Sherry Peter
    Abstract:

    Ludwig's Angina is a severe life-threatening odontogenic infection, with severe diffuse cellulitis that presents as an acute onset with the rapid spread. It anatomically involves the bilateral submandibular and sublingual spaces and the submental space which results in a state of emergency. Early diagnosis and immediate treatment planning could be the choice of management. The appropriate use of parenteral antibiotics, airway protection techniques, and formal surgical decompression of the spaces remains the standard protocol of treatment. Here, we present a case in a 31-year-old male with widespread odontogenic infection originating from a pericoronal infection, extending to the neck with an elevation of the floor of the mouth and obstruction of the airway.

Desai S - One of the best experts on this subject based on the ideXlab platform.

  • Awake Fiberoptic Intubation for the Drainage of Ludwigs Angina in a Pregnant Patient; A Case Report
    Journal of Anesthesia & Clinical Research, 2015
    Co-Authors: Desai S, Dharmesh Ladhad
    Abstract:

    Ludwig’s Angina is a potentially lethal, rapidly spreading cellulitis involving the sublingual and submandibular spaces leading to difficult airway. Associated pregnancy makes airway management and choice of anesthesia further difficult. There are previously reported cases of drainage of Ludwig’s Angina in pregnant woman managed with superficial cervical plexus block and other regional techniques. We report a case of drainage of Ludwig’s Angina in a pregnant woman, conducted under general anesthesia with awake fiberoptic intubation. The options of regional anesthesia vs. general anesthesia for management of Ludwig’s Angina in pregnant patient are discussed.

Ajoy Vijayan - One of the best experts on this subject based on the ideXlab platform.

  • Ludwigs Angina: Report of a case with extensive discussion on its management
    Universal Research Journal of Dentistry, 2015
    Co-Authors: Ajoy Vijayan, Joy R Das, Sherry Peter
    Abstract:

    Ludwig's Angina is a severe life-threatening odontogenic infection, with severe diffuse cellulitis that presents as an acute onset with the rapid spread. It anatomically involves the bilateral submandibular and sublingual spaces and the submental space which results in a state of emergency. Early diagnosis and immediate treatment planning could be the choice of management. The appropriate use of parenteral antibiotics, airway protection techniques, and formal surgical decompression of the spaces remains the standard protocol of treatment. Here, we present a case in a 31-year-old male with widespread odontogenic infection originating from a pericoronal infection, extending to the neck with an elevation of the floor of the mouth and obstruction of the airway.