Epiglottitis - Revision history

Osonderman at 15:03, 25 January 2026

2026-01-25T15:03:51Z

← Older revision		Revision as of 08:03, 25 January 2026
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	== Anesthetic implications<!-- Briefly summarize the anesthetic implications of this comorbidity. --> ==		== Anesthetic implications<!-- Briefly summarize the anesthetic implications of this comorbidity. --> ==

	=== Preoperative optimization<!-- ~~Describe how~~ this ~~comorbidity~~ may ~~influence preoperative evaluation and optimization of patients~~. --> ===		=== Preoperative optimization<!-- The most important goal is expeditious and safe transport to a controlled environment (the OR) to secure the airway. Thorough airway examination should be avoided for children due to the possibility of agitation and worsening of airway obstruction. The child should be transported to the OR with pulse oximetry, oxygen support via face mask or nasal cannula, emergency airway equipment including surgical airway instruments, and a physician experienced in airway management such as an anesthesiologist or otolaryngologist. Parents may be allowed to accompany a child if this avoids agitation. If an IV is present, glycopyrolate may be administered to reduce secretions. -->===

	=== Intraoperative management<!-- ~~Describe how~~ this ~~comorbidity may influence intraoperative management~~. --> ===		=== Intraoperative management<!-- Emergency airway equipment including a difficult airway cart, video laryngoscope, flexible bronchoscope, and appropriately sized endotracheal tubes must be available. An ENT must be present at induction if the need for a surgical airway arises. For an adult patient, awake airway should be attempted. For a child who cannot tolerate awake airway, induction should occur in the seated position to avoid airway obstruction, potentially on the parent's lap if this helps to prevent agitation and distress. Induction with 100% FIO2 and sevoflurane to maintain spontaneous respiration is critical. Parents should be escorted from the OR once the child has reached an appropriate plan of anesthesia. Anticipate increased secretions and friable oropharyngeal tissue secondary to the infection. -->===

	=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. --> ===		=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. --> ===

Osonderman at 13:55, 25 January 2026

2026-01-25T13:55:06Z

← Older revision		Revision as of 06:55, 25 January 2026
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	}}		}}

	~~Provide a brief summary~~ of ~~this comorbidity here~~.		Epiglottitis is inflammation of the epiglottis typically secondary to an infectious process. The most common causative bacterium historically was Haemophilus influenzae type B. However, with the advancement of vaccination, other causative agents such as Streptococcus pneumoniae or viruses are now more common.

			Traditionally, children ages 2-5 years of age were most likely to present with epiglottitis. However, older children and adults may also be afflicted.

	== Anesthetic implications<!-- Briefly summarize the anesthetic implications of this comorbidity. --> ==		== Anesthetic implications<!-- Briefly summarize the anesthetic implications of this comorbidity. --> ==

Osonderman at 13:35, 25 January 2026

2026-01-25T13:35:40Z

← Older revision		Revision as of 06:35, 25 January 2026
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	\| other_names =		\| other_names =
	\| anesthetic_relevance = High		\| anesthetic_relevance = High
	\| anesthetic_management = Immediate securement of the patient's airway in the operating room due to high risk for critical airway obstruction		\| anesthetic_management = Inhalational induction to maintain spontaneous respirations; Immediate securement of the patient's airway in the operating room due to high risk for critical airway obstruction
	\| specialty = ENT		\| specialty = ENT
	\| signs_symptoms = - The 4 "D's": dyspnea, dysphagia, drooling, dysphonia		\| signs_symptoms = - The 4 "D's": dyspnea, dysphagia, drooling, dysphonia

Osonderman: initial description; planning to add additional information

2026-01-25T13:34:33Z

initial description; planning to add additional information

← Older revision		Revision as of 06:34, 25 January 2026
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	{{Infobox comorbidity		{{Infobox comorbidity
	\| other_names =		\| other_names =
	\| anesthetic_relevance =		\| anesthetic_relevance = High
	\| specialty =		\| anesthetic_management = Immediate securement of the patient's airway in the operating room due to high risk for critical airway obstruction
	\| signs_symptoms =		\| specialty = ENT
	\| diagnosis =		\| signs_symptoms = - The 4 "D's": dyspnea, dysphagia, drooling, dysphonia
	\| treatment =		- typically presents in children age 2-5 years
			- Fever as high as 40 degreees Celcius
			\| diagnosis = Clinical suspicion; "thumb print" sign on lateral neck X-ray
			\| treatment = Emergent securement of the airway, subsequent antibiotics and steroids
	\| image =		\| image =
	\| caption =		\| caption =

Mitchel.DeVita: added template

2022-02-24T15:05:41Z

added template

New page

{{Infobox comorbidity
| other_names =
| anesthetic_relevance =
| specialty =
| signs_symptoms =
| diagnosis =
| treatment =
| image =
| caption =
}}

Provide a brief summary of this comorbidity here.

== Anesthetic implications ==

=== Preoperative optimization ===

=== Intraoperative management ===

=== Postoperative management ===

== Related surgical procedures ==

== Pathophysiology ==

== Signs and symptoms ==

== Diagnosis ==

== Treatment ==

=== Medication ===

=== Surgery ===

=== Prognosis ===

== Epidemiology ==

== References ==

[[Category:Comorbidities]]