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

Burstin PP, arshall CL. Infectious mononucleosis and bilateral peritonsillar abscesses resulting in airway obstruction. J Laryngol Otol. 1998;112:1186-1188.

Donlon JV. Anestesia para Cirurgia Oftálmica e Otorrinolaringo- lógica. Anestesia. 1993:2001-2023.

Kristensen S, Tveterás K. Post-tonsillectomy haemorrhage: A retrospective study of 1150 operations. Clin Otolaryngol. 1984;9:347-350.

Blum DJ, Neel HB. Current thinking on tonsillectomy and adenoidectomy. Compr Ther. 1983;9:48-56.

King CJ, Davey AJ, Chandradeva K. Emergency use of the laryngeal mask airway in severe upper airway obstruction caused by supraglottic edema. Br J Anaesth. 1995;75:785-786.

Scuderi PE, Mcleskey CH, Comer PB. Emergency percu- taneous transtracheal ventilation during anesthesia using readily available equipment. Anesth Analg. 1982;61:867-870.

Christensen PH, Madsen U. Unilateral immediate tonsillectomy as the treatment of peritonsillar abscess: results, with special attention to pharyngitis. J Laryngol Otol. 1983;97:1105-1109.

Oddera I. Infectious mononucleosis: when is tonsillectomy indicate?. Schweiz Med Wochenschr. 2000:80s-82s.

Raut VV, Yung MW. Peritonsillar abscess: the rationale for interval tonsillectomy. Ear Nose Throat J. 2000;79:206-209.

Gray W C. Throat culture in impending peritonsillar abscess. South Med J. 1984;77:1545-1547.

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