Acute epiglottitis in children: Management of 27 consecutive cases with nasotracheal intubation, with special emphasis on anaesthetic considerations

Upper Airway Obstruction

“…33 The presence of this safe period, not available if a tracheostomy tube comes out prematurely is an important consideration in hospitals where support may not be available immediately. It affords the physician in 45 Baxter 44 Sweeney et al 47 Schuller and Brick 33 Battaglia and Lockhart 46 Shann et al 36 Blanc, et al 43…”

“…Recently there has been increased use of endotracheal intubation in treating epiglottitis. Five recent studies 33,56,43,46,47 presented a total of 190 cases of epiglottitis managed by endotracheal intubation ( Table 8). All patients were intubated without major difficulty.…”

A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics

“…Lateral soft-tissue X-ray of the neck has been found useful when diagnosis was in doubt (Jones, 1975;Blang et al, 1977;Hanallah and Rosales, 1979;Rapkin, 1972;Dumbar, 1961;Baxter, 1967). Some authors, however, consider the investigation unnecessary, and indeed dangerous, as it may delay the initiation of treatment (Davis, et al, 1981;Edelson, 1971;Poole and Altman, 1963;Rainer, 1971).…”

ACUTE EPIGLOTTITIS IN CHILDREN: Review of 27 patients

“…The classical history and symptoms of acute epiglottitis were found in many of our patients: a sudden onset of high fever with dysphagia or refusal to take food in a quiet, obviously sick child; respiratory difficulties; a preference for a sitting position, frequently leaning forwards; drooling; a thick, muffled voice and often no conspicuous cough. Once seen, this state is recognized easily on subsequent occasions and may be differentiated from the restless, noisy, afebrile child with a hoarse, barking dry cough of laryngitis or pseudo-croup (Battaglia and Lockhart, 1975;Blanc et al, 1977).…”