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Early management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • the child is anaesthetised without using paralysing agent which may abolish the remaining airway. An inhalational anaesthetic is used

  • the child is then examined by direct laryngoscopy and intubated if necessary

  • if the airway cannot be secured then an ENT surgeon may have to perform an emergency tracheostomy

  • blood samples and swabs are taken at this stage

  • intravenous access should be left until the airway is secured, unless there is collapse

  • treatment for confirmed diagnosis is chloramphenicol, or cefotaxime, dependent upon sensitivities of local Haemophilus influenzae B strain. Empirical treatment of choice is often chloramphenicol

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