Related Experiment Video
Updated: Aug 3, 2026
04:46
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
21.8K
Case Report: Post-operative Angioedema After a Laryngeal Mask Airway Application
Suren Soghomonyan1, Qian Fleming1, Sujatha P Bhandary2
1Department of Anesthesiology, Ohio State University Wexner Medical Center, Columbus, OH, United States.
Frontiers in Medicine
|April 1, 2021
Summary
This case report details a rare instance of angioedema with macroglossia following anesthesia in a patient on lisinopril. It highlights potential triggers and management strategies for this uncommon post-operative complication.
Area of Science:
- Anesthesiology
- Pharmacology
- Emergency Medicine
Background:
- Angioedema with macroglossia is a rare but serious complication associated with anesthesia.
- Patients on angiotensin-converting enzyme inhibitors (ACEIs) like lisinopril are at increased risk.
- Surgical positioning and airway management can be potential contributing factors.
Observation:
- A patient on chronic lisinopril therapy developed angioedema presenting as macroglossia post-operatively.
- Symptoms emerged in the early post-operative period after surgery in a lateral position.
- A laryngeal mask airway was used during the procedure.
Findings:
- The case highlights the potential for ACEI-induced angioedema to manifest post-anesthesia.
- Lisinopril therapy was identified as a key risk factor.
- The use of a laryngeal mask airway and surgical positioning may have contributed to the event.
Implications:
- Awareness of this rare complication is crucial for anesthesiologists and clinicians.
- Careful patient selection and monitoring are necessary for patients on ACEIs undergoing surgery.
- Prompt recognition and management are vital for favorable patient outcomes.
More Related Videos
Related Concept Videos
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:24Endotracheal Tube Extubation
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...