Otolaryngology in Critical Care

Ann Am Thorac Soc. 2018 Jun;15(6):643-654. doi: 10.1513/AnnalsATS.201708-695FR.

Abstract

Diseases affecting the ear, nose, and throat are prevalent in intensive care settings and often require combined medical and surgical management. Upper airway occlusion can occur as a result of malignant tumor growth, allergic reactions, and bleeding events and may require close monitoring and interventions by intensivists, sometimes necessitating surgical management. With the increased prevalence of immunocompromised patients, aggressive infections of the head and neck likewise require prompt recognition and treatment. In addition, procedure-specific complications of major otolaryngologic procedures can be highly morbid, necessitating vigilant postoperative monitoring. For optimal outcomes, intensivists need a broad understanding of the pathophysiology and management of life-threatening otolaryngologic disease.

Keywords: Ludwig's angina; epiglotittis; epistaxis; laryngectomy; retropharyngeal abscess.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Critical Care / methods*
  • Disease Management*
  • Humans
  • Otolaryngology / methods*
  • Otorhinolaryngologic Diseases / therapy*