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
