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Failure of intubation in acute inflammatory airway obstruction in childhood

Published online by Cambridge University Press:  29 June 2007

Peter J. Robb
Peter J. Robb*
Affiliation:
Cambridge
*
Peter J. Robb. Guy's Hospital, St. Thomas Street, London SE1 9RT.
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Summary

At the present time, viral laryngotracheobronchitis. (LTB), and bacterial epiglottitis account for the majority of cases of acute infectious upper airway obstruction in children. This airway obstruction may become life-threatening and require relief either by tracheotomy or by nasotracheal intubation. Recently the trend has been away from tracheotomy and towards intubation. Three cases are reported in this paper, in which intubation by experienced anaesthetists proved impossible, and a life-saving tracheotomy was immediately performed by the otolaryngologist in attondance.

It is recommended that an experienced otolaryngologist should always be present at the time of intubation, should it prove impossible, and the child require emergency tracheotomy to secure the airway.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 99 , Issue 10 , October 1985 , pp. 993 - 998
Copyright
Copyright © JLO (1984) Limited 1985

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References

Baker, S. R. (1979) Laryngotracheobronchitis—a continuing challenge in child health care. Journal of Otolaryngology, 8: 494–500.Google ScholarPubMed
Bottenfield, G. W., Arcinue, E. L., Sarnaik, A., and Jewell, M. R. (1980) Diagnosis and management of acute epiglottitis—report of 90 consecutive cases. The Laryngoscope, 90: 822–825.CrossRefGoogle ScholarPubMed
Bjure, J., Ejnell, H., Jeppsson, P-H., Martinell, S., Sixt, R., and Tornquist, C. (1981) Tracheotomy—a satisfactory method in the treatment of acute epiglottitis. A clinical and functional follow-up study. International Journal of Pediatric Otorhinolaryngology, 3: 37–43.CrossRefGoogle ScholarPubMed
Cantrell, R. W., Bell, R. A., and Morioka, W. T. (1978) Acute epiglottitis. Intubation versus tracheotomy. The Laryngoscope, 88: 994–1005.CrossRefGoogle Scholar
Carter, P., and Benjamin, B. (1983) Ten year review of pediatric tracheotomy. Annals of Otology, Rhinology and Laryngology, 92: 398–400.CrossRefGoogle ScholarPubMed
Costigan, D. C., and Newth, C. J. L. (1983) Respiratory status of children with epiglottitis. with and without an artificial airway. American Journal of Diseases of Childhood, 137: 139–141.Google ScholarPubMed
Forfar, J. O., and Arneil, G. (1978) Textbook of Paediatrics. 2nd Edition. Churchill Livingstone, Edinburgh. pp. 493–495.Google Scholar
Henry, R. L., Mellis, C. M., and Benjamin, B. (1983) Pseudomembranous Croup. Archives of Diseases in Childhood, 58: 180–183.CrossRefGoogle ScholarPubMed
Kinnefors, A., and Olofsson, J. (1983) Acute epiglottitis in children: experiences with tracheotomy and intubation. Clinical Otolaryngology, 8: 25–30.CrossRefGoogle ScholarPubMed
Mitchell, D. P., and Thomas, R. L. (1980) Secondary airway support in the management of croup. Journal of Laryngology and Otology, 9: 419–422.Google ScholarPubMed
Pippin, L. K., Short, D. M., and Bowles, J. B. (1983) Long term intubation practise in the UK, Anaesthesia. 38: 791–795.CrossRefGoogle Scholar
Schloss, M. D., Gold, J. A., Rosales, J. K., and Baxter, J. D. (1983) Acute epiglottitis: current management. Laryngoscope, 93: 489–493.CrossRefGoogle ScholarPubMed
Schroeder, H. G., and Kleinsasser, O. (1983) Tracheostomy in children. Complications and late lesions. Laryngology, Rhinology and Otology, 62: 216–219.CrossRefGoogle Scholar
Schultz, R. L., and Morrison, W. V. (1982) Short term intubation in children with acute epiglottitis. Southern Medical Journal, 75: 158–160.CrossRefGoogle ScholarPubMed
Sinclair, S. E. (1941) Haemophilus influenza type B acute laryngitis with bacteraemia. Journal of the American Medical Association, 117: 170–173.CrossRefGoogle Scholar
Welch, D. B., and Price, D. G. (1983) Acute epiglottitis and severe croup. Experience in two English regions. Anaesthesia, 38: 754–759.CrossRefGoogle ScholarPubMed
Wetmore, R. F., and Handler, S. D. (1979) Epiglottitis: evolution in management during the last decade. Annals of Otolaryngology, 88: 822–826.Google ScholarPubMed