Successful airway management in a patient with left parapharyngeal and retropharyngeal abscess with mediastinal extension during COVID-19 pandemic

  • Muhamad Rafiqi Hehsan
  • Wan Fadzlina Wan Muhd Shukeri
  • Raman S RM Subramaniam Chettiar
  • Huda Zainal Abidin
Keywords: AIRWAY MANAGEMENT, COVID-19, abscess, parapharyngeal, abscess, retropharyngeal, video-assisted thoracoscopy, Surgery, thoracic

Abstract

Acute airway compromise caused by a deep neck space abscess significantly contributes to the morbidity and mortality, and it requires quick identification and rapid treatment.1 Parapharyngeal and retropharyngeal abscesses affect 2.64 persons out of 100,000 population. The incidence in males and females is 3.34 and 1.94 per 100,000 people, respectively.2 Of note, the abscess might increase the patient’s susceptibility to COVID-19 infection. In order to limit COVID-19 transmission in such patients, an advanced treatment plan is required.3 We share the anesthetic airway management of a high-risk airway case during the current COVID-19 pandemic.

Key words: airway management; COVID-19; abscess, parapharyngeal; abscess, retropharyngeal; video-assisted thoracoscopy; Surgery, thoracic

Citation: Hehsan MR, Shukeri WFWM, Chettiar RSRMS, Abidin HZ. Successful airway management in a patient with left parapharyngeal and retropharyngeal abscess with mediastinal extension during COVID-19 pandemic. Anaesth. pain intensive care 2021;26(1):128-129.

DOI: 10.35975/apic.v26i1.1784

Author Biographies

Muhamad Rafiqi Hehsan

Department of Anesthesiology and Intensive Care, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Bandar Baru Nilai, 71800, Nilai, Negeri Sembilan, Malaysia.

Wan Fadzlina Wan Muhd Shukeri

Department of Anesthesiology and Intensive Care, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Raman S RM Subramaniam Chettiar

Department of Anesthesiology and Intensive Care, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Huda Zainal Abidin

Department of Anesthesiology and Intensive Care, School of Medical Sciences, Health Campus, University of Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Published
04-02-2022
How to Cite
Hehsan, M., Muhd Shukeri, W. F., Chettiar, R. S., & Abidin, H. (2022). Successful airway management in a patient with left parapharyngeal and retropharyngeal abscess with mediastinal extension during COVID-19 pandemic. Anaesthesia, Pain & Intensive Care, 26(1), 128-129. https://doi.org/10.35975/apic.v26i1.1784
Section
Correspondence