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Ludwig Angina Airway Strategy — FRCA Final MCQ

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HardAirway ManagementLudwig Angina Airway StrategyFRCA Final

A patient with Ludwig's angina has trismus, floor-of-mouth swelling, dysphagia. SpO2 95% sitting. Recommended airway management?

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Correct answer: B — Awake tracheostomy under LA

Ludwig's angina: sublingual/submandibular swelling pushes tongue posteriorly, may make even FOI impossible. Awake tracheostomy under LA secures airway below obstruction level. Awake FOI alternative in less severe cases.

Reference: DAS – 2025 – Difficult airway: specific scenarios