Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke
Hemorrhagic complications of tissue plasminogen activator (tPA) are well known. We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need...
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Veröffentlicht in: | Annals of emergency medicine 2001-10, Vol.38 (4), p.447-449 |
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creator | Shaps, Howard J. Snyder, Graham E. Sama, Andrew E. Rudolph, Gary S. |
description | Hemorrhagic complications of tissue plasminogen activator (tPA) are well known. We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need for thorough preadministration physical examination, as well as careful monitoring during infusion and after administration of this potent therapeutic agent. [Shaps HJ, Snyder GE, Sama AE, Rudolph GS. Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. Ann Emerg Med. October 2001;38:447-449.] |
doi_str_mv | 10.1067/mem.2001.116615 |
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We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need for thorough preadministration physical examination, as well as careful monitoring during infusion and after administration of this potent therapeutic agent. [Shaps HJ, Snyder GE, Sama AE, Rudolph GS. Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. Ann Emerg Med. 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We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need for thorough preadministration physical examination, as well as careful monitoring during infusion and after administration of this potent therapeutic agent. [Shaps HJ, Snyder GE, Sama AE, Rudolph GS. Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke. Ann Emerg Med. October 2001;38:447-449.]</description><subject>Aged</subject><subject>Airway Obstruction - etiology</subject><subject>Airway Obstruction - therapy</subject><subject>Biological and medical sciences</subject><subject>Brain Ischemia</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hematoma - chemically induced</subject><subject>Hematoma - complications</subject><subject>Humans</subject><subject>Intubation, Intratracheal</subject><subject>Medical sciences</subject><subject>Pharmacology. Drug treatments</subject><subject>Respiration, Artificial</subject><subject>Risk Assessment</subject><subject>Stroke - diagnosis</subject><subject>Stroke - drug therapy</subject><subject>Tissue Plasminogen Activator - adverse effects</subject><subject>Tissue Plasminogen Activator - therapeutic use</subject><subject>Tongue Diseases - chemically induced</subject><subject>Tongue Diseases - complications</subject><subject>Toxicity: blood</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1vFDEMhiMEokvhzA3lwnG2znzk41hVfEmVuMB55PF4SmAyWSXZov4A_jcpu1JPHKzI8vNa8SPEWwV7BdpcBQ77FkDtldJaDc_EToEzjTYanosdKKcb0H1_IV7l_BMAXN-ql-JCqcH0Frqd-HPt0298kBTDIcXgM8vMFLcZ04MsUa5-uzviKn9wwBID_gNXT1jqQOIc_OZzSbWNm4yLLD7nI8vDirmO4h1vEqn4-xpOcqmFdCwsfaa60ZOs2fiLX4sXC66Z35zfS_H944dvN5-b26-fvtxc3zbUma40PbdI1DHAYHlh0rabJq0QEN0wDYtRmgdH1rSLnSZl0WiendPssDc8t92luDrtpRRzTryMh-RDPXVUMD4KHavQ8VHoeBJaE-9OicNxCjw_8WeDFXh_BjATrkvCjXx-4nqwrbW6cu7Ecb3v3nMaM3neiGefmMo4R__fT_wFSBKWXg</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Shaps, Howard J.</creator><creator>Snyder, Graham E.</creator><creator>Sama, Andrew E.</creator><creator>Rudolph, Gary S.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20011001</creationdate><title>Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke</title><author>Shaps, Howard J. ; Snyder, Graham E. ; Sama, Andrew E. ; Rudolph, Gary S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-4e2acc3e0058efec683bb61a0aa95b5f716e59c872f8bb18a76ed996e9a47ed23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Airway Obstruction - etiology</topic><topic>Airway Obstruction - therapy</topic><topic>Biological and medical sciences</topic><topic>Brain Ischemia</topic><topic>Drug toxicity and drugs side effects treatment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hematoma - chemically induced</topic><topic>Hematoma - complications</topic><topic>Humans</topic><topic>Intubation, Intratracheal</topic><topic>Medical sciences</topic><topic>Pharmacology. 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subjects | Aged Airway Obstruction - etiology Airway Obstruction - therapy Biological and medical sciences Brain Ischemia Drug toxicity and drugs side effects treatment Female Follow-Up Studies Hematoma - chemically induced Hematoma - complications Humans Intubation, Intratracheal Medical sciences Pharmacology. Drug treatments Respiration, Artificial Risk Assessment Stroke - diagnosis Stroke - drug therapy Tissue Plasminogen Activator - adverse effects Tissue Plasminogen Activator - therapeutic use Tongue Diseases - chemically induced Tongue Diseases - complications Toxicity: blood |
title | Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke |
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