Epiglottitis Flashcards Preview

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Flashcards in Epiglottitis Deck (5)
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1
Q

What causes epiglottitis?

A

Haemophilis influenza B infection usually

Causes inflammation of the epiglottis - can completely obscure the airway so it is a life-threatening emergency

2
Q

Presentation suggesting epiglottitis

A
Sore throat and stridor
Drooling 
Tripod position - sat forward with hands on knees
High fever
Difficulty or unable to swallow/speak
3
Q

Investigations

A

DON’T EXAMINE THE AIRWAY

If suspect epiglottis best not to do any investigations and just call anaesthetist

4
Q

Management

A

Don’t do anything to distress the patient - could prompt closure of the airway

Call senior paediatrician and anaesthetist - to secure the airway - child may need intubation

Once airway is secure:

  • IV antibiotics e.g. ceftriaxone
  • Steroids e.g. dex
5
Q

Complications of epiglottitis

A

Epiglottic abscess - also a life threatening emergency

Death