[Nasotracheal intubation and tracheostomy in acute epiglottitis and laryngotracheal bronchitis].
Acute infectious respiratory distress in children has known different modalities of treatment during these past few years, but controversy remains between tracheostomy and naso-tracheal intubation as ways to cope with the problem. This study, which was undertaken at St. Justine's Hospital in Montreal, reports our complications with the two methods and shows that non-fatal complications are about the same but less serious with naso-tracheal intubation, whereas mortality was 3.2% with tracheostomy and 0% with naso-tracheal intubation. These results entitle us to think that naso-tracheal intubation is the treatment which should be used. This study also reviews different incidence in regards to age, sex, and seasonal prevalence between croup and epiglottitis and also compares the duration of hospital care between the two modalities.
D000208:Acute Disease; D001991:Bronchitis / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D004825:Epiglottis; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D007827:Laryngitis / Q000601:surgery / Q000628:therapy*; D008297:Male; D011183:Postoperative Complications; D014136:Tracheitis / Q000601:surgery / Q000628:therapy*; D014140:Tracheotomy
L'intubation naso-trachéale et la trachéostomie dans l'épiglottite et la laryngo-trachéo-bronchite aigue.