[Impossibility of intubation due to angioedema secondary to an angiotensin-converting enzyme inhibitor]

Rev Esp Anestesiol Reanim. 1999 Feb;46(2):88-91.
[Article in Spanish]

Abstract

Angioedema secondary to treatment of one year's duration with angiotensin converting enzyme inhibitor (ACEI) (lisinopril) in a 56-year-old man scheduled for elective cardiac surgery led unexpectedly to impossible intubation. Surgical access (tracheostomy) was required when airway control was threatened. We review the clinical course, etiology and treatment of angioedema secondary to ACEI therapy. This is a life threatening complication which, though rare, is becoming increasingly frequent with increased use of such drugs.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Angioedema / chemically induced*
  • Angioedema / pathology
  • Angiotensin-Converting Enzyme Inhibitors / adverse effects*
  • Angiotensin-Converting Enzyme Inhibitors / pharmacology
  • Bronchoscopy
  • Coronary Artery Bypass
  • Elective Surgical Procedures
  • Fiber Optic Technology
  • Humans
  • Intraoperative Complications / chemically induced*
  • Intraoperative Complications / pathology
  • Intubation, Intratracheal*
  • Laryngeal Edema / chemically induced*
  • Laryngeal Edema / pathology
  • Laryngoscopy
  • Lisinopril / adverse effects*
  • Lisinopril / pharmacology
  • Male
  • Middle Aged
  • Oropharynx / pathology
  • Tracheostomy

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Lisinopril