Acute epiglottitis: Surgical emergency

Bass, James W., Steele, Russell W. and Wiebe, Robert A. (1974) Acute epiglottitis: Surgical emergency. JAMA: Journal of the American Medical Association, 229 6: 671-675.


Author Bass, James W.
Steele, Russell W.
Wiebe, Robert A.
Title Acute epiglottitis: Surgical emergency
Journal name JAMA: Journal of the American Medical Association   Check publisher's open access policy
ISSN 0098-7484
1538-3598
Publication date 1974-08-05
Sub-type Article (original research)
DOI 10.1001/jama.229.6.671
Volume 229
Issue 6
Start page 671
End page 675
Total pages 5
Place of publication Chicago, IL, United States
Publisher American Medical Association
Language eng
Formatted abstract Of 97 patients with acute epiglottitis, 83 were reviewed retrospectively and 14 were studied prospectively to clarify some of the common misconceptions regarding the onset, clinical course, and management of this disorder. It is a relatively rare, life-threatening infection of infants and preschool-age children, but it also occurs in adults. It is frequently referred to as "Haemophilus influenzae croup epiglottitis," which is misleading, as croup is usually not present, and though H influenzae is the most common causative organism, other pathogens have been implicated. The course of acute epiglottitis is radically different from that of the more common viral croup syndrome in that the patients often have rapidly progressive and frequently abrupt airway obstruction. An assured airway is mandatory in treatment. Nasotracheal intubation should not be attempted without provisions for immediate surgical intervention. Acute epiglottitis should always be considered a surgical emergency.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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