Author/Editor     Stopar, Tatjana; Novak-Jankovič, Vesna; Casati, Andrea
Title     Four different airway-management strategies in patient with Launois-Bensaude syndrome or Madelung's disease undergoing surgical excision of neck lipomatosis with a complicated postoperative course.
Type     članek
Source     J Clin Anesth
Vol. and No.     Letnik 17, št. 4
Publication year     2005
Volume     str. 300-3
Language     eng
Abstract     Launois-Bensaude syndrome, otherwise known as Madelung's disease, is a rare disorder characterized by fatty accumulations of the upper trunk, neck and head, causing serious cosmetic deformity and neck immobility. We report a case of a patient with Launois-Bensaude syndrome who required 4 different airway management strategies during his hospitalization for postoperative complications after an elective surgical excision of a severe neck lipomatosis. Anesthesiologists who treat patients with Madelung's disease should be aware of 2 major problems: difficult airway and increased frequency of postoperative bleeding. A proper choice of airway management technique is therefore necessary, including a safe intubation and extubation plan to reduce the consequences of airway complications.
Descriptors     LIPOMATOSIS, MULTIPLE SYMMETRICAL
INTUBATION, INTRATRACHEAL
LARYNGEAL MASKS
POSTOPERATIVE HEMORRHAGE
ANESTHESIA
ADULT
INTENSIVE CARE UNITS
LARYNGOSCOPY