Abrupt onset of high fever (39–40°C), sore throat, and dysphagia
Drooling or difficulty handling secretions
Very limited or no prodrome of mild upper respiratory tract infection (URI)
“H...
Maintain child upright, never supine.
Allow the child to assume his or her most comfortable position (usually in the parent’s arms/lap).
Administer oxygen by mask or blown by f...
Extubation is usually possible within 24 to 48 hours. Criteria include decreased erythema and edema of the epiglottis on direct inspection and d...
Darras K, Roston A, Yewchuk L. Imaging acute airway obstruction in infants and children. Radiographics. 2015;35(7):2064–2079. [View Abstract on OvidInsights]
Gorga S, Gilsdorf ...
464.30 Acute epiglottitis without mention of obstruction
464.31 Acute epiglottitis with obstruction
J05.10 Acute epiglottitis witho...
Q: What is the incidence of epiglottitis since the introduction of conjugate vaccines against H. influenzae type B?
A: Because H. influenzae type B caused 90% of epiglottitis and the incidence of a...
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FIG. 11.19. A child with epiglottitis. This 4-year-old girl has epiglottitis caused by Haemophilus influenzae type b. A: She prefers to sit and appears anxious. B: The child assumes the characteristic sniffing position to maximize the patency of her airway.
FIG. 11.19. A child with epiglottitis. This 4-year-old girl has epiglottitis caused by Haemophilus influenzae type b. A: She prefers to si...
FIG. 11.21. Epiglottitis. A: A swollen, cherry-red epiglottis with an endotracheal tube passing posteriorly. B: In comparison, this child has a thin, pink, uninfected epiglottis.
FIG. 11.21. Epiglottitis. A: A swollen, cherry-red epiglottis with an endotracheal tube passing posteriorly. B: In comparison, this child ...
FIG. 11.23. A: The patient has epiglottitis. The radiograph demonstrates a swollen epiglottis at the level of the hyoid bone, which is convex on both sides and appears in the shape of a thumbprint. Edema anterior to the epiglottis has obliterated the vallecula, which usually appears as an elongated black shadow. Note the marked swelling of the aryepiglottic folds, projecting inferiorly and posteriorly from the epiglottis and the arytenoid cartilages at the base of the folds. Because Haemoph...
FIG. 11.23. A: The patient has epiglottitis. The radiograph demonstrates a swollen epiglottis at the level of the hyoid bone, which is con...
FIG. 11.24. Epiglottitis. A: A normal epiglottis on a lateral neck radiograph, with the structures illustrated in B. Epiglottitis is similarly depicted radiographically (C, D).
FIG. 11.24. Epiglottitis. A: A normal epiglottis on a lateral neck radiograph, with the structures illustrated in B. Epiglottitis is simil...
Epiglottitis on inspiratory soft-tissue lateral neck radiograph. Supraglottitis.
From Harwood-Nuss A, MD FACEP, Wolfson AB, MD, FACEP, FACP, et al. The Clinical Practice of Emergency Medicine, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2001.
From Harwood-Nuss A, MD FACEP, Wolfson AB, MD, FACEP, FAC...