Rapidly progressive inflammation of the epiglottis and surrounding tissues leading to airway compromise
May be more indolent in adults than pediatrics; rapid progression to total airw...
Upper respiratory tract infection symptoms
Prodrome absent in significant number of cases
Head, eyes, ears, nose, throat:
Transport patients in position of comfort
Supplemental oxygen as tolerated; avoid increasing anxiety
Intubation indicated only if patient is in severe respiratory distress:
Failure to manage the airway in a timely manner
Avoid any unnecessary intervention until airway is secured
Mortality is 7% in adults with epiglottitis
Guldfred LA, Lyhne D, Becker BC. Acute epiglottitis: Epidemiology, clinical presentation, management and outcome. J Laryngol Otol. 2008;122:818–823.
Marx JA, Hockberger RS...
464.3 Acute epiglottitis
464.30 Acute epiglottitis without mention of obstruction
464.31 Acute epiglottitis with obstruction
J05.1 Acute epiglottitis
J05.10 Acute epiglottitis without obstr...
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