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Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
ORDAZ-DIAZ, Azuri and MARTINEZ-CHINAS, María del Carmen. Ludwig’s angina in the pregnant patient. A case report. Rev. mex. anestesiol. [online]. 2021, vol.44, n.1, pp.63-65. Epub Oct 11, 2021. ISSN 0484-7903. https://doi.org/10.35366/97779.
Introduction:
Ludwig’s angina is an odontogenic pathology of infectious origin that involves the submaxillary, sublingual and submental spaces and that significantly com-promises the airway. The maintenance of the respiratory tract must be a priority in the treatment of this pathology since asphyxia by obstruction is the first cause of death at first.
Case report:
A 22-year-old patient with a 35.5 SDG pregnancy plus preterm labor threat plus Ludwig’s angina, who underwent cesarean Kerr and deep neck abscess drainage under regional anesthesia plus balanced general anesthesia with intubation with awake patient.
Discussion:
Ludwig’s angina due to anatomical distortion conditions difficult air-way and this together with pregnancy exacerbates it due to the anatomical changes that exist in it, it forces us to endotracheal intubation with the awake patient of first intention to ensure the pathway aerial.
Keywords : Ludwig’s angina; difficult airway; awake patient intubation.