Epiglottitis

Question 1

What causes epiglottitis?

Answer 1

Haemophilis influenza B infection usually

Causes inflammation of the epiglottis - can completely obscure the airway so it is a life-threatening emergency

Question 2

Presentation suggesting epiglottitis

Answer 2

Sore throat and stridor
Drooling 
Tripod position - sat forward with hands on knees
High fever
Difficulty or unable to swallow/speak

Question 3

Investigations

Answer 3

DON’T EXAMINE THE AIRWAY

If suspect epiglottis best not to do any investigations and just call anaesthetist

Question 4

Management

Answer 4

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

Question 5

Complications of epiglottitis

Answer 5

Epiglottic abscess - also a life threatening emergency

Death