1 - Paeds - Resp - ENT - Epiglottitis Flashcards Preview

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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

Croup vs Epiglottitis
- onset
-preceding cold
-cough
-able to eat and drink
-drooling
-appearance
-fever
-stridor
-voice and cry

CROUP
-days
-yes
-severe, barking
-yes
-no
-unwell
-<38.5
-harsh, rasping
-hoarse

Epiglottitis
-over hours
-no
-absent/slight
-no
-yes
-toxic
->38.5
-soft,whispering
-muffled, reluctant to speak

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