Flashcards in 1 - Paeds - Resp - ENT - Epiglottitis Deck (10):
1
acute epiglottitis is a...
caused by? most common in who?
life threatening emergency due to risk of airway compromise
Hib
mostly 1-6y but affects all ages
2
what must you not do to a pt with epiglottitis
do not lie down or examine - may distress pt and cause respiratory arrest
3
Symptoms of epiglottitis
high fever
ill looking child
throat pain preventing speech/swallow - drooling
minimal/no cough (vs croup)
4
signs of epiglottitis
intense swelling of epiglottis and surrounding tissue
VERY ACUTE onset
soft inspiratory stridor
RAPIDLY worsening resp difficulty- over hours
5
what may a child with epiglottitis look like
immobile
sat upright/leant forward
open mouth to optimise airway
look very ill
6
who to summon if suspected
senior anaesthetist, paeds and ENT surgeon
7
what happens once suspected and relevant people arrive
transfer to ICU/anaesthetic room in case of arrest, intubate under GA, if impossible -> tracheostomy
8
what happens once the airway is secured
blood cultures and IV ABx started (cefuroxime)
9
when remove tracheal tube? ABx for how long? recovery time? what given to household contacts?
remove tube after 24h
ABx for 3-5d
most recover after 2-3d
rifampicin to household contacts
10