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Thảochipi
Thảochipi
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Saturday 17 October 2026 04:35:28 GMT
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This patient was experiencing angioedema caused by lisinopril, a commonly prescribed blood pressure medication. Angioedema is sudden swelling that occurs deeper beneath the skin, often affecting the lips, tongue, face and throat. When it involves the throat, the swelling can become severe enough to block the airway and prevent someone from breathing. Unlike a typical allergic reaction, this type of angioedema isn’t primarily driven by histamine, so medications like antihistamines, steroids and epinephrine may not reliably stop it. The most important priority when the swelling is progressing is protecting the patient’s airway. In this case, his airway became so swollen that we could no longer push air into his lungs with a mask, and we couldn’t pass a breathing tube through his mouth. That’s why I had to perform a cricothyrotomy, an emergency procedure where an incision is made through the front of the neck and directly into the airway, allowing a breathing tube to bypass the swelling and deliver oxygen to the lungs. It’s a procedure used when someone cannot be oxygenated or intubated from above, and in this case, it saved his life. Four days later, he walked out of the hospital in perfect health. #Angioedema #Lisinopril #EmergencyMedicine #ERDoctor
This patient was experiencing angioedema caused by lisinopril, a commonly prescribed blood pressure medication. Angioedema is sudden swelling that occurs deeper beneath the skin, often affecting the lips, tongue, face and throat. When it involves the throat, the swelling can become severe enough to block the airway and prevent someone from breathing. Unlike a typical allergic reaction, this type of angioedema isn’t primarily driven by histamine, so medications like antihistamines, steroids and epinephrine may not reliably stop it. The most important priority when the swelling is progressing is protecting the patient’s airway. In this case, his airway became so swollen that we could no longer push air into his lungs with a mask, and we couldn’t pass a breathing tube through his mouth. That’s why I had to perform a cricothyrotomy, an emergency procedure where an incision is made through the front of the neck and directly into the airway, allowing a breathing tube to bypass the swelling and deliver oxygen to the lungs. It’s a procedure used when someone cannot be oxygenated or intubated from above, and in this case, it saved his life. Four days later, he walked out of the hospital in perfect health. #Angioedema #Lisinopril #EmergencyMedicine #ERDoctor

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