Clinical Case Database / Category: Case Based Discussion

Airway management in odontogenic abscess

Publication details

C. McIntyre, V. Cunningham
Foundation Years Journal, volume 6, issue 8, p.6 (123Doc Education, London, September 2012)

Abstract

A 25 year old male presents to the ward with a 5 day history of a dental abscess and features of systemic toxicity (1, 2). The key features are the assessment of the compromised airway, the toxic patient and appropriate management for these conditions. Clinical review of the airway forms a vital part of planning for safe peri-operative care strategies for ward doctors and anaesthetists. Prompt assessment and anticipation of serious complications are paramount in patients with airway related compromise on the ward, in theatre and post-operatively.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

ProductPriceSubscription
Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart

Authors

C. McIntyre

Specialty Anaesthetic Registrar, West of Scotland

V. Cunningham (Corresponding author)

Consultant Anaesthetist, Institute of Neurological Sciences
Southern General Hospital, Glasgow
cunninghamrsvj@btinternet.com

References

1.T Handley, M Devlin, D Koppel, J McCaul, The sepsis syndrome in odontogenic
Infection.JICS2009Volume 10, Number 1.
2. Green AW, Flower EA, New NE. Mortality associated with odontogenic
infection! Br Dent J 2001; 190:529-30.
3. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A
practical scale. Lancet 1974, 2:81-84.
4. Resuscitation Council Guidelines 2010 UK http//www.resus.org.uk
5. Markovitz BP, Randolph AG. Corticosteroids for the prevention and treatment
of post-extubation stridor in neonates, children and adults (Cochrane Review).
Cochrane Library, Issue 2, 2003.
6. McGarvey JM, Lollack CV. Heliox in airway management, Em Med Cl North
Am 2009 Nov 26 (4) 905-20.
7. Ozsancak A, Sidhom S, Liesching TN, Howard W, Hill NS. Evaluation of
the total facemask technique for non-invasive ventilation to treat acute
respiratory failure.Chest 2011;139(5):1034-41.
8. Samsoon GLT, Young JRB. Difficult tracheal intubation: a retrospective study.
Anaesthesia 1987; 42 (5): 487-490.
9. Mallampati SR. Clinical assessment of airway. Anesthesiol Cl N America1995;
13(2): 301-306.
10. Mallampati SR, Gatt SP, Gugino LD, et al. A clinical sign topredict difficult
tracheal intubation: a prospective study. Can JAnaesth 1985; 32:429-34.
11. Savva D. Prediction of difficult tracheal intubation. Br J Anaesth 1994;73:
149-153.
12. Wilson ME, Spiegelhalter D, Robertson JA et al. Predicting difficultintubation.
Br J Anaesth 1988; 61: 211-16.
13. Oates JDL, Macleod AD, Oates PD, et al. Comparison of two methodsof
predicting difficult intubation. Br J Anaesth 1991;66:30-9.
14. Frerk CM. Predicting difficult intubation. Anaesthesia 1991; 46:1005-8.
15. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics.
Anaesthesia 1984; 39:1105-11.
16. Han R, Tremper KK, Kheterpal S, O’Reilly M. Grading scale for mask
ventilation. Anesthesiology 2004; 101:267
17. Priestley G,WatsonW, Rashidian A,Mozley C, Russell D,Wilson J,Cope J,
Hart D, Kay D, Cowley K, Pateraki J. Introducing CriticalCare Outreach: a wardrandomised
trial of phased introduction in ageneral hospital. Intensive Care
Medicine 2004; 30(7):1398–404.
18. McGaughey J, Alderdice F, Fowler R, Kapila A,Mayhew A,MoutrayM.
Outreach and EarlyWarning Systems (EWS) for the preventionof Intensive
Care admission and death of critically ill adult patients on general hospital
wards. Cochrane Database of Systematic Reviews2007, Issue 3. Art. No.:
CD005529. DOI: 10.1002/14651858.CD005529.pub2.
19.Comstedt P, Storgaard M, Lassen AT. The Systemic Inflammatory Response
Syndrome (SIRS) in acutely hospitalised medical patients: a cohort study.
Scand J Trauma Resusc Emerg Med. Dec 27 2009; 17(1):67.
20.Rangel-Fausto MS, Pittet D, Costigan M. The natural history of the systemic
inflammatory response syndrome (SIRS). A prospective study. JAMA. 1995;
273:117-123.
21.R. Phillip Dellinger, Mitchell M. Levy, Jean M. Carlet, Julian Bion, Margaret
M. Parker, Roman Jaeschke, Konrad Reinhart, Derek C. Angus, Christian Brun-
Buisson and Richard Beale, et al. Surviving Sepsis Campaign: International
guidelines for management of severe sepsis and septic shock: Intensive Care
Medicine2008 Vol 34, Number 1, 17-60.
22. Ochoa ME, Carmen Marin M et al Cuff leak test for the diagnosis of
upper airway obstruction in adults: a systematic review and meta-analysis.
Intensive Care Medicine 2009 Vol 35 No 7 1171-1179.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.