Chronic ACE-Inhibitor Induced Angioedema Requiring Emergent Nasotracheal Intubation: A Case Report

نویسندگان

چکیده

ACE-inhibitor induced angioedema is a rare, potentially life-threatening phenomenon with unpredictable symptoms. With advanced angioedema, orotracheal intubation may not be possible necessitating nasotracheal or cricothyroidotomy. This case describes 76-year-old male history of hypertension controlled lisinopril-hydrochlorothiazide who developed sudden-onset angioedema. Additionally, this was complicated by the patient’s anticoagulation after recent abdominal aortic aneurysm repair. The acute respiratory distress managed because severe edema oral cavity including at base tongue without improvement epinephrine, corticosteroid, an antihistamine. He extubated following day, but mild and left side face persisted discharge 4 days presentation. When presenting to emergency room mediated via use, time essence avoid cardiopulmonary arrest secondary hypoxemia. Rapid identification management condition key improve outcomes. After management, patients should advised all ACE-inhibitors in future.

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ژورنال

عنوان ژورنال: Asploro Journal of Biomedical and clinical Case Reports

سال: 2022

ISSN: ['2582-0370']

DOI: https://doi.org/10.36502/2022/asjbccr.6262