Diagnosis and management of acute epiglottitis -- report of 90 consecutive cases.
Ninety children with acute epiglottitis were admitted from 1971 - 1977. Lateral extended neck radiograph was found to be a quick, safe and reliable way to establish the diagnosis. Out of 79, 77 (97%) had blood cultures yielding Hemophilus influenzae type b. Immediate institution of airway and antibiotics were the mainstay of treatment. All patients in the series survived. For short-term airway management, as in acute epiglottitis, nasotracheal intubation under general anesthesia was found to be the airway of choice.
D000208:Acute Disease; D000667:Ampicillin / Q000627:therapeutic use; D002648:Child; D002701:Chloramphenicol / Q000627:therapeutic use; D004825:Epiglottis; D006192:Haemophilus Infections / Q000175:diagnosis / Q000628:therapy*; D006193:Haemophilus influenzae; D006801:Humans; D007442:Intubation, Intratracheal; D007827:Laryngitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
D002701:Chloramphenicol; D000667:Ampicillin