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March 1975, Vol 129, No. 3 >
Article | March 1975

Management of Acute Epiglottitis by Nasotracheal Intubation FREE

Jane Donohue Battaglia, MD; Charles H. Lockhart, MD
[+] Author Affiliations

Received for publication July 15, 1974; accepted Aug 31.

Reprint requests to Department of Anesthesiology, Children's Hospital, 19th Avenue at Downing, Denver, CO 80218 (Dr. Battaglia).


Am J Dis Child. 1975;129(3):334-336. doi:10.1001/archpedi.1975.02120400042009.
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Comments

In 40 cases of acute epiglottitis in children, intubation was the chosen method for the management of airway obstruction. Six patients were treated without the establishment of an artificial airway, and no tracheostomies were done. No patients who were admitted to the hospital died of airway obstruction, although one sustained irreversible brain damage before admission, and two died of overwhelming infection.

The average duration of intubation was 2.8 days and the average hospital stay was 5.8 days. Two children developed subglottic granulation tissue that was removed successfully and did not recur. Nasotracheal intubation is an acceptable method of management of epiglottitis.

REFERENCES

1 +
Geraci RP:  Acute epiglottitis—management with prolonged nasotracheal intubation . Pediatrics 41:143-145, 1968;.
2 +
Rosales JK, Davenport HT:  Acute laryngotracheobronchitis and epiglottitis . Can Anaesth Soc J 9:467-478, 1962;.
3 +
Baxter JD:  Acute epiglottitis in children . Laryngoscope 77:1358-1367, 1967;.
4 +
Margolis CZ, Ingram DL, Meyer JH:  Routine tracheotomy in Hemophilis influenzae type b epiglottitis . J Pediatr 81:1150-1153, 1972;.
5 +
Bass JW:  Routine tracheotomy for epiglottitis: What are the odds? J Pediatr 83:510-511, 1973;.
6 +
Rapkin RH:  Tracheostomy in epiglottitis . Pediatrics 52:426-429, 1973;.
7 +
Smith DS:  Editorial comment . J Pediatr 81:1153, 1972;.
8 +
Rapkin RH:  The diagnosis of epiglottitis: Simplicity and reliability of radiographs of the neck in the differential diagnosis of the croup syndrome . J Pediatr 80:96-98, 1972;.
9 +
Phelan PD, Williams HE:  Acute epiglottitis . Br Med J 4:455-456, 1968;.
10 +
Edelson PJ:  Radiographic examination in epiglottitis . J Pediatr 81:1036, 1972;.
11 +
Poole CA, Altman DH:  Acute epiglottitis in children . Radiology 80:798-805, 1963;.
12 +
Downey JJ, Kane LA, Secord LC:  Nasotracheal intubation in infants and children . NY State J Med 72:2521-2523, 1972;.
13 +
Allen JH, Steven IM:  Prolonged nasotracheal intubation in infants and children . Br J Anaesth 44:835-839, 1972;.
14 +
Tos M:  Nasotracheal intubation in acute epiglottiditis . Arch Otolaryngol 97:373-375, 1973;.
15 +
Milko D, Marshak G, Striker T:  Nasotracheal intubation in the treatment of acute epiglottitis . Pediatrics 53:674-677, 1974;.

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References

1 +
Geraci RP:  Acute epiglottitis—management with prolonged nasotracheal intubation . Pediatrics 41:143-145, 1968;.
2 +
Rosales JK, Davenport HT:  Acute laryngotracheobronchitis and epiglottitis . Can Anaesth Soc J 9:467-478, 1962;.
3 +
Baxter JD:  Acute epiglottitis in children . Laryngoscope 77:1358-1367, 1967;.
4 +
Margolis CZ, Ingram DL, Meyer JH:  Routine tracheotomy in Hemophilis influenzae type b epiglottitis . J Pediatr 81:1150-1153, 1972;.
5 +
Bass JW:  Routine tracheotomy for epiglottitis: What are the odds? J Pediatr 83:510-511, 1973;.
6 +
Rapkin RH:  Tracheostomy in epiglottitis . Pediatrics 52:426-429, 1973;.
7 +
Smith DS:  Editorial comment . J Pediatr 81:1153, 1972;.
8 +
Rapkin RH:  The diagnosis of epiglottitis: Simplicity and reliability of radiographs of the neck in the differential diagnosis of the croup syndrome . J Pediatr 80:96-98, 1972;.
9 +
Phelan PD, Williams HE:  Acute epiglottitis . Br Med J 4:455-456, 1968;.
10 +
Edelson PJ:  Radiographic examination in epiglottitis . J Pediatr 81:1036, 1972;.
11 +
Poole CA, Altman DH:  Acute epiglottitis in children . Radiology 80:798-805, 1963;.
12 +
Downey JJ, Kane LA, Secord LC:  Nasotracheal intubation in infants and children . NY State J Med 72:2521-2523, 1972;.
13 +
Allen JH, Steven IM:  Prolonged nasotracheal intubation in infants and children . Br J Anaesth 44:835-839, 1972;.
14 +
Tos M:  Nasotracheal intubation in acute epiglottiditis . Arch Otolaryngol 97:373-375, 1973;.
15 +
Milko D, Marshak G, Striker T:  Nasotracheal intubation in the treatment of acute epiglottitis . Pediatrics 53:674-677, 1974;.

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