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Acute Epiglottitis

Acute Epiglottitis Abstract Sir.—The excellent article by Battaglia and Lockhart in the March issue of the Journal (129:334, 1975) leaves little room for debate that acute epiglottitis, almost certainly the most frightening emergency in pediatric practice, requires treatment in the well-equipped hospital where endotracheal intubation can be performed routinely. Until very recently,1 tracheostomy was believed to be obligatory. Berenberg and Kevy2 state "... in epiglottitis tracheostomy is often the cornerstone of conservative management." Battaglia and Lockhart present a convincing case for endotracheal intubation when adequate skill and equipment are available. However, this leaves unanswered the problem for the pediatrician who may not have adequate skill or equipment to deal with this situation in his office or in the home. Forewarned, he can meet the patient in the hospital, but he may encounter the patient with respiratory arrest or may provoke this in his attempt to examine the child. (Most pediatricians will References 1. Rapkin R: Tracheostomy in epiglottitis . Pediatrics 52:426-430, 1973. 2. Berenberg W, Kevy S: Acute epiglottitis in childhood . N Engl J Med 259:870, 1958.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Acute Epiglottitis

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Acute Epiglottitis

Abstract

Abstract Sir.—The excellent article by Battaglia and Lockhart in the March issue of the Journal (129:334, 1975) leaves little room for debate that acute epiglottitis, almost certainly the most frightening emergency in pediatric practice, requires treatment in the well-equipped hospital where endotracheal intubation can be performed routinely. Until very recently,1 tracheostomy was believed to be obligatory. Berenberg and Kevy2 state "... in epiglottitis tracheostomy is often the...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1976.02120080104024
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—The excellent article by Battaglia and Lockhart in the March issue of the Journal (129:334, 1975) leaves little room for debate that acute epiglottitis, almost certainly the most frightening emergency in pediatric practice, requires treatment in the well-equipped hospital where endotracheal intubation can be performed routinely. Until very recently,1 tracheostomy was believed to be obligatory. Berenberg and Kevy2 state "... in epiglottitis tracheostomy is often the cornerstone of conservative management." Battaglia and Lockhart present a convincing case for endotracheal intubation when adequate skill and equipment are available. However, this leaves unanswered the problem for the pediatrician who may not have adequate skill or equipment to deal with this situation in his office or in the home. Forewarned, he can meet the patient in the hospital, but he may encounter the patient with respiratory arrest or may provoke this in his attempt to examine the child. (Most pediatricians will References 1. Rapkin R: Tracheostomy in epiglottitis . Pediatrics 52:426-430, 1973. 2. Berenberg W, Kevy S: Acute epiglottitis in childhood . N Engl J Med 259:870, 1958.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jul 1, 1976

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