Abstract
You are called urgently to the emergency department (ED) for an emergent endotracheal intubation. The patient is a 65-year-old African-American female (BMI 32) with a history of hypertension and diabetes mellitus type 2. She takes an ACE inhibitor and metformin. You are told by the emergency physician that the patient was admitted 2 h ago with angioedema. She was treated with epinephrine, methylprednisolone, and diphenhydramine. Unfortunately, the tongue swelling has increased dramatically in the last 30 min.
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Reference
Bas M, Greve J, Strassen U, Khosravani F, Hoffmann TK, Kojda G. Angioedema induced by cardiovascular drugs: new players join old friends. Allergy. 2015;70(10):1196–200.
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Brock-Utne, J.G. (2017). Case 67: Angioedema in the Emergency Department. In: Clinical Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-71467-7_67
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DOI: https://doi.org/10.1007/978-3-319-71467-7_67
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