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Uncontrolled Bleeding After Tongue Laceration Leading to a Difficult Airway in the Setting of Hemophilia A: A Case Report

Year: 2022

Type: article

Abstract: Bleeding in the upper airway is a potentially catastrophic event and an important cause of airway-related mortality, even in otherwise healthy patients. The bleeding airway is particularly challenging because tools used by physicians to secure a difficult airway, such as direct video and flexible video/fiberoptic laryngoscopy, may be ineffective as the camera may become soiled with blood. A 33-year-old male with hemophilia A presented with a tongue laceration after a seizure. We present an upper airway emergency due to hemorrhage in hemophilia A, effectively managed with a strategy employing pre-intubation optimization, semi-recumbent position, and video laryngoscopy.

Source: Cureus

DOI: 10.7759/cureus.31455

Authors: Rebecca Siegel, Dalal Budri, John Morrison

Institutions: Centinela Hospital Medical Center, Brookdale University Hospital and Medical Center

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4309043545