Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942002000500009
Brazilian Journal of Anesthesiology
Clinical Information

Obstrução de vias aéreas superiores após drenagem de abscesso periamigdaliano: relato de caso

Upper airway obstruction after peritonsillar abscess drainage: case report

Deoclécio Tonelli; Fernando Wilhelm de Carvalho; Paula de Camargo Neves Sacco; Vanessa Heinke; Raquel Vasconcelos de Souza

http://dx.doi.org/10.1590/S0034-70942002000500009 Braz J Anesthesiol, vol.52, n5, p.588-590, 2002
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Resumo

JUSTIFICATIVA E OBJETIVOS: O abscesso periamigdaliano é uma complicação incomum, porém predispõe a comprometimento grave das vias aéreas superiores. O objetivo deste relato é apresentar um caso de obstrução de vias aéreas após drenagem cirúrgica de abscesso periamigdaliano numa paciente jovem sem outras doenças de base. RELATO DO CASO: Trata-se de uma paciente de 26 anos com grave abscesso periamigdaliano que submeteu-se à anestesia geral para drenagem e após a extubação apresentou grave insuficiência respiratória, necessitando de reintubação traqueal e ventilação controlada mecânica por 24 horas. CONCLUSÕES: O planejamento anestésico e a adequada indicação cirúrgica são fundamentais para a prevenção de complicações em cirurgia otorrinolaringológica.

Palavras-chave

CIRURGIA, COMPLICAÇÕES, COMPLICAÇÕES

Abstract

BACKGROUND AND OBJECTIVES: Peritonsillar abscess is an unusual complication, but predisposes to severe upper airway complications. This report aimed at presenting a case of upper airway obstruction after surgical drainage of a peritonsillar abscess in a healthy young female patient. CASE REPORT: Young female patient, 26 years old, with severe peritonsillar abscess and submitted to general anesthesia for drainage. After extubation, she presented a severe respiratory failure requiring reintubation and controlled ventilation for 24 hours. CONCLUSIONS: The anesthetic strategy and the adequate surgical indication are fundamental in preventing complications during ENT surgeries.

Keywords

COMPLICATIONS, COMPLICATIONS, SURGERY

References

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