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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