Management of epiglottitis
Acute epiglottitis is a paediatric emergency. Management and treatment is as follows;
DO NOT:
- panic
- alarm the parents or child
- examine the child in any way - especially do not try to visualize the epiglottitis using a tongue depressor
DO:
- call a senior anaesthetist, paediatrician and ENT surgeon
- alert theatres or ICU; the child needs to be admitted immediately
If respiratory arrest appears to be intervening before the senior help arrives, nebulised adrenaline can be used; this buys time but does not solve the underlying problem.
Diagnostically radiology is rarely required, and delaying treatment in order to image the child is inappropriate.
Reference
- Abdallah C; Acute epiglottitis: Trends, diagnosis and management. Saudi J Anaesth. 2012 Jul;6(3):279-81
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