TY - CHAP M1 - Book, Section TI - Approach to the Difficult Airway A1 - Wagner, Jason C. A2 - Farcy, David A. A2 - Chiu, William C. A2 - Marshall, John P. A2 - Osborn, Tiffany M. PY - 2016 T2 - Critical Care Emergency Medicine, 2e AB - A 40-year-old female presented at 8:00 A.M. with a swollen lip but no rash, speaking full sentences. She was immediately given intravenous diphenhydramine, methylprednisolone, and famotidine. At 10:30 A.M., she developed neck swelling, difficulty swallowing, and dyspnea and was given subcutaneous epinephrine and nebulized albuterol while an anesthesiologist was called for possible difficult airway intubation and an otolaryngologist was called for possible emergent tracheostomy. The patient decompensated and the anesthesiologist was unable to intubate the patient. The otolaryngologist took 45 minutes to place the tracheostomy due to soft-tissue swelling obscuring the trachea, during which time the patient became apneic, went into PEA cardiac arrest, and developed anoxic brain injury. Two months later, the patient died and the patient's family filed suit against the emergency physician, anesthesiologist, and otolaryngologist. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1135699515 ER -