Table 5 Characteristics of those intubated for ACEI-induced angioedema
Documented reason for intubation | Specialist performing intubation | Method of intubation |
|---|---|---|
Unable to protect or maintain airway. | EM physician | nasal fiberoptic |
Inability to control secretions, no improvement after epinephrine. | Anesthesia in operating room | laryngoscopy |
Notable change in voice. No improvement after epinephrine. | Anesthesia in ED | laryngoscopy |
Worsening dyspnea, progressive oropharyngeal swelling noted in ED. No improvement after epinephrine. | EM physician | laryngoscopy |
Notable change in voice. Worsening dyspnea. | Surgery. Anesthesia attempted in the operating room but was unsuccessful due to severe airway edema. | tracheostomy |
Notable change in voice. No improvement after epinephrine. | EM physician | laryngoscopy |
Inability to control secretions. No improvement after epinephrine. | EM physician | laryngoscopy |
Hypoxic. No improvement after antihistamines. | Surgery. Anesthesia attempted in OR and unsuccessful after multiple failed fiberoptic attempts. | Tracheostomy |
Inability to control secretions. | Anesthesia in the operating room | Nasal fiberoptic |
Notable change in voice. Inability to control secretions. No improvement after epinephrine. | Anesthesia in the ED | laryngoscopy |