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Diagnosis and management of acute epiglottitis — report of 90 consecutive cases
Author(s) -
Bottenfield Gerald W.,
Arcinue Edgardo L.,
Sarnaik Ashok,
Jewell Marvin R.
Publication year - 1980
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198005000-00011
Subject(s) - medicine , epiglottitis , airway , nasotracheal intubation , intubation , haemophilus influenzae , airway management , anesthesia , surgery , antibiotics , microbiology and biotechnology , biology
Ninety children with acute epiglottitis were admitted from 1971 – 1977. Lateral extended neck radiograph was found to be a quick, safe and reliable way to establish the diagnosis. Out of 79, 77 (97%) had blood cultures yielding Hemophilus influenzae type b. Immediate institution of airway and antibiotics were the mainstay of treatment. All patients in the series survived. For short‐term airway management, as in acute epiglottitis, nasotracheal intubation under general anesthesia was found to be the airway of choice.