Repeated Perioperative Airway Management in Odontogenic Deep Neck Space Infection Managed Clinically as Ludwig’s Angina: An Anaesthesia- and Intensive Care Unit-Focused Case Report
Case report finds successful repeat airway management in a patient with severe neck infection, suggesting airway risks remain despite stable breathing.
Key Points
To demonstrate the challenges and strategies of airway management in a case of Ludwig's angina.
Emergency drainage performed under general anaesthesia
C-MAC video laryngoscopy used for intubation
Post-procedure assessment included cuff-leak testing and multidisciplinary team involvement.
Successful first-attempt intubation with grade 1 laryngoscopy view
Patient required second general anaesthetic for repeat drainage with same laryngoscopy grade
Pus culture identified Streptococcus agalactiae, leading to 21 days of antimicrobial therapy.