[Treatment of acute epiglottitis].
We analyze 13 children between 1 and 3 years old (mean: 24.6 +/- 6.5 months), who were diagnosed (by direct or radiological examination) of epiglottitis. Seven were male. All of them had fever and respiratory distress. Six blood cultures (46%) were positive for Hemophilus Influenzae, and in 5 cases were resistant to beta-lactamases. Diagnose was made by radiology (70%) or by direct examination (30%). Five patients were not intubated (38%), with a favorable outcome. One died after a cardiorespiratory arrest due to self-extubation. We describe in this study our experience in the conservative treatment of epiglotitis, although initial nasotracheal intubation is the safest method for the management of this entity.
Flores Antón
B
B
Unidad de Cuidados Intensivos Pediátricos, Departamento de Pediatría, Hospital 12 de Octubre, Madrid.
Medina Monzón
C
C
Espino Hernández
M
M
Sánchez Díaz
J I
JI
Mar Molinero
F
F
Melián Machín
A
A
Ruiz Contreras
J
J
D000208:Acute Disease; D000402:Airway Obstruction / Q000517:prevention & control; D002675:Child, Preschool; D004826:Epiglottitis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D005260:Female; D006192:Haemophilus Infections / Q000382:microbiology*; D006193:Haemophilus influenzae; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008297:Male; D011859:Radiography
Tratamiento de la epiglotitis aguda.