Acute Epiglottitis

Question 1

Bug causing epiglottitis?

Answer 1

Haemophilus influenzae B.

Question 2

Why is Prompt recognition and treatment of epiglottitis essential?

Answer 2

risk of airway obstruction

Question 3

Why has the incidence of Epiglottitis reduced in the UK?

Answer 3

Introduction of Haemophilus influenza B vaccine (HiB)

Question 4

Features of epiglottitis

Answer 4

rapid onset
high temperature
stridor
drooling of saliva
‘tripod’ position: the patient finds it easier to breathe if they are leaning forward and extending their neck in a seated position

Question 5

Why would you complete X-Rays in the investigation of a patient with suspected epiglottitis?

Answer 5

To rule out foreign body

Question 6

Management of epiglottitis

Answer 6

• Anaesthetics/ENT involvement for airway support
• intubation may be necessary to protect the airway
• IV antibiotics