Initial airway management for patients with epiglottitis
Initial airway management for patients with epiglottitis
RSI: rapid sequence intubation. * Until the airway is secured in young children (6 years of age or younger), avoid intravenous access, unnecessary physical examination (oropharyngeal or laryngeal examination with a tongue blade or other instruments), and diagnostic tests (eg, phlebotomy or epiglottic cultures) which may provoke anxiety or crying with abrupt airway obstruction. ¶ The approach to endotracheal intubation in older children with ≤50% obstruction is on a "case by case" basis depending on the full clinical picture, degree of estimated airway obstruction, and availability of pediatric intensive care capability to safely observe unintubated children. Δ Supraglottic airway use is contraindicated in patients with severe hypopharyngeal pathology, such as epiglottitis. Refer to UpToDate topics on rapid sequence intubation in children. ◊ Refer to UpToDate topics on needle and surgical cricothyrotomy. § Children with epiglottitis should receive ongoing care in a pediatric intensive care unit.
Graphic 112297 Version 4.0
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟