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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Anaesthetic Management of a Patient with Hereditary Angioedema

Mediha Türktan1, Ersel Güleç1, Zehra Hatipoğlu1

  • 1Department of Anaesthesiology and Reanimation, Çukurova University Faculty of Medicine, Adana, Turkey.

Turkish Journal of Anaesthesiology and Reanimation
|July 2, 2016
PubMed

Hereditary angioedema (HAE) is a rare autosomal dominant disorder caused by reduced activity of the C1 esterase inhibitor. Clinically, angioedema most often involves the upper extremities, face, neck and larynx. The most common cause of death is asphyxia related to laryngeal oedema. Attacks are triggered by many factors such as trauma, stress, infections and hormonal fluctuations. C1 esterase inhibitor concentrates, fresh frozen plasma (FFP), androgen steroids, quinine pathway inhibitors and antifibrinolytics can be used as treatment. In this case report, the anaesthetic management of a patient with hereditary angioedema undergoing laminectomy surgery is reported.

Keywords:
C1 esterase inhibitorHereditary angioedemalaminectomy

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