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Chapter 28. Airway Management in a Patient with a Deep Neck Infection

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What is Ludwig's angina?

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A. epiglottitis

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B. unstable angina

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C. deep neck infection and edema involving the entire floor of the mouth

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D. lingual tonsillitis

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E. mediastinitis

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(C) Ludwig's angina is defined as the bilateral cellulitis and edema of the submandibular and sublingual spaces or deep neck infection and edema involving the entire floor of the mouth.

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Which of the following airway management strategies may be difficult in patients with a Ludwig's angina?

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A. face-mask ventilation

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B. ventilation using extraglottic devices

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C. direct laryngoscopy

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D. surgical airway

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E. all of the above

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(E) All the listed airway management strategies may be difficult in patients with Ludwig's angina.

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Which of the following is NOT an acceptable intubating technique in managing patients with Ludwig's angina?

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A. surgical airway

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B. flexible bronchoscopic intubation

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C. intubation using an intubating LMA

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D. laryngoscopic intubation

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E. intubation using a GlideScope™

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(C) In general, a nonvisual intubating technique, such as intubation using an Intubating LMA, should be avoided in managing patients with a Ludwig's angina.

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