title: [Treatment of acute epiglottitis].
abstract: 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.
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos, Departamento de Pediatría, Hospital 12 de Octubre, Madrid.
authors.forename: B
authors.initials: B
authors.lastname: Flores Antón
authors.forename: C
authors.initials: C
authors.lastname: Medina Monzón
authors.forename: M
authors.initials: M
authors.lastname: Espino Hernández
authors.forename: J I
authors.initials: JI
authors.lastname: Sánchez Díaz
authors.forename: F
authors.initials: F
authors.lastname: Mar Molinero
authors.forename: A
authors.initials: A
authors.lastname: Melián Machín
authors.forename: J
authors.initials: J
authors.lastname: Ruiz Contreras
mesh_terms: 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
vernacular_title: Tratamiento de la epiglotitis aguda.