Approach to postoperative respiratory distress Quiz: Ace Your Exams
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A 45-year-old man is being evaluated in the postoperative recovery unit after an uncomplicated open cholecystectomy. The patient is experiencing surgical site pain and shortness of breath. Anesthesia reports that there was no difficulty with intubation or extubation, no intraoperative episodes of hypotension, and he was given prophylactic intravenous cefazolin 30 minutes before skin incision. He has a history of hypertension and knee osteoarthritis for which he takes lisinopril and ibuprofen. He has a penicillin allergy. Temperature is 36.4°C (97.5°F), blood pressure is 157/94 mmHg, pulse is 115/min, and respiratory rate is 35/min. BMI is 25 kg/m2. Pulse oximetry on 2L of oxygen by nasal cannula is 96%. He has a hoarse voice. His tongue and lips are enlarged. There is no jugular venous distension. Stridor is heard on auscultation. Cardiology examination is normal. The incision is intact without drainage or erythema. There is no peripheral edema. Which of the following is the best next step in management?
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