Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
A 36 year old woman with Down’s syndrome and hypothyroidism presented to the emergency department with breathlessness. She had suffered with coryzal symptoms for a week, before becoming increasingly dyspnoeic the day before presentation. On arrival she was unable to speak and stridulous. She was neither drooling nor toxic. Her temperature was 37.4°C. However oxygen saturation was reduced and arterial blood gas measurement showed a type 2 respiratory failure with acidosis. An urgent anaesthetic opinion was sought, and the patient transferred to the resuscitation room. Fibreoptic laryngoscopy confirmed the suspicion of a supraglottitis. After inhalation induction using sevofluorane, intubation was achieved with difficulty. …
Conflicts of interest: none.