{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T08:04:28Z","timestamp":1779609868907,"version":"3.53.1"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesize published clinical evidence on post-intubation lingual edema, focusing on pathophysiology, clinical presentation, diagnosis, management, and prevention strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review was performed using PubMed, Scopus, and EMBASE from inception through April 2025. Search terms included \u201ctongue edema,\u201d \u201cmacroglossia,\u201d \u201clingual edema,\u201d \u201cendotracheal intubation,\u201d \u201cairway management,\u201d and \u201ccritical care.\u201d Eligible English-language reports describing lingual edema in adults following endotracheal intubation were included and synthesized qualitatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 48 studies were included, consisting predominantly of case reports, case series, and observational studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Post-intubation lingual edema is an uncommon but potentially life-threatening complication. Early recognition, mechanism-directed management, and preventive strategies, including atraumatic airway techniques, optimal positioning, frequent reassessment and device repositioning, and selective consideration of bradykinin-targeted therapy when angioedema is suspected, are critical to reducing morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08850666261446845","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T12:54:03Z","timestamp":1779281643000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Silent Complication: Review of Lingual Edema Following Intubation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6798-7313","authenticated-orcid":false,"given":"Surabhi","family":"Maheshwari","sequence":"first","affiliation":[{"name":"UAB Heersink School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3636-4707","authenticated-orcid":false,"given":"Yash Vardhan","family":"Trivedi","sequence":"additional","affiliation":[{"name":"University of Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6613-6395","authenticated-orcid":false,"given":"Shahin","family":"Isha","sequence":"additional","affiliation":[{"name":"Ascension Saint Joseph Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulmoiz","family":"Abdulwali","sequence":"additional","affiliation":[{"name":"UAB Heersink School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"William P","family":"Saliski","sequence":"additional","affiliation":[{"name":"UAB Heersink School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-0964-z"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02884"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-023-10559-0"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2024.09.001"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000006951"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-023-01123-0"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-2764-7.00050-6"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/jnacc-jnacc-64.16"},{"key":"e_1_3_4_10_2","volume-title":"Last\u2019s Anatomy, Regional and Applied","author":"Last RJ","year":"1994","unstructured":"Last RJ, MacMinn RM. 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