Anesthetic management of a patient with hereditary angioedema for oral surgery

Rumiko Hosokawa, Masanori Tsukamoto, Saki Nagano, Takeshi Yokoyama

Research output: Contribution to journalArticle

Abstract

Hereditary angioedema (HAE) is a rare genetic disease that results from deficiency or dysfunction of C1 inhibitor (C1-INH). This disease is characterized by sudden attacks of angioedema. When edema occurs in the pharynx or larynx, it can lead to serious airway compromise, including death. Physical and/or psychological stress can trigger an attack. Dental treatment, including tooth extraction, is also a recognized trigger. We report a case of a 20-year-old male with HAE who required impacted third molar extractions. C1-INH concentrate was administered 1 hour before surgery, which was completed under deep intravenous sedation. This report describes the anesthetic management of a patient with HAE and reviews treatment options and concerns.

Original languageEnglish
Pages (from-to)30-32
Number of pages3
JournalAnesthesia progress
Volume66
Issue number1
DOIs
Publication statusPublished - Mar 1 2019

Fingerprint

Hereditary Angioedemas
Oral Surgery
Anesthetics
Deep Sedation
Angioedema
Tooth Extraction
Inborn Genetic Diseases
Third Molar
Larynx
Rare Diseases
Pharynx
Psychological Stress
Edema
Tooth
Therapeutics

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Anesthetic management of a patient with hereditary angioedema for oral surgery. / Hosokawa, Rumiko; Tsukamoto, Masanori; Nagano, Saki; Yokoyama, Takeshi.

In: Anesthesia progress, Vol. 66, No. 1, 01.03.2019, p. 30-32.

Research output: Contribution to journalArticle

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