Epiglottitis

toc =Introduction = =Signs &Symptoms = =Diagnosis=  =Treatment = =Management of anesthesia=
 * Presents in 2-7 y/o children
 * H.influenzae type B
 * Rapid onset over 24 hrs
 * Acute difficulty swallowing
 * High fever/ Neutophelia
 * Inspiratorystridor
 * Sitting upright + leaning forward
 * a/w Pulmonary edema, pericarditis, meningitis, septic arthritis
 * Based on clinical signs.
 * Lateral radiograph of neck, if stable: swollen epiglottis (thumb sign)
 * Medical emergency
 * Secure the airway (Translaryngeal tracheal intubation during general anesthesia)
 * Antibiotics
 * Corticosteroids are of unproven efficacy for decreasing edema.
 * Inhalation induction in sitting position
 * Emergency cricothyrotomy/tracheostomy
 * DL/ intubate (1/2 size smaller ETT)
 * Replace the orotracheal tube to a nasal one.
 * ICU
 * Extubate : improved fever, neutrophelia, air leak around ETT, DL/flex fiberopticlarygoscopy under sedation or GA to confirm resolution of inflammation

include component="editors" days="30" imageSize="small" showUsername="true" include component="comments" page="Arterial Blood Pressure Measurement" limit="10"media type="googleplusone" key="" width="450" height="24" align="left"media type="digg" key="http%3A%2F%2Fetherpedia.wikispaces.com%2Fspace.template.etherpedia%20wiki%20page" width="50" height="64" align="left"media type="reddit" key="" width="120" height="22" align="left"