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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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miércoles, 27 de marzo de 2019

Stridor

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emDocs - March 25, 2019 - Author: Elfatihi M -  Edited by: Koyfman A and Long B
 
"Take home points
  • Rapid intervention should proceed diagnostic work up in the ill-appearing patient.
  • Intubation for ill-appearing patients should be performed by proficient healthcare clinicians, with ENT and anesthesia consultation recommended.
  • A smaller ETT should be ready for a smaller than anticipated airway due to edema.
  • Stridor, fever, and rapidly progressing symptoms are most likely to be epiglottitis or bacterial tracheitis.
  • In afebrile patient with stridor and progressively worsening symptoms, consider foreign body, anaphylaxis, or thermal epiglottitis in the appropriate clinical setting.
  • A clinician with appropriate airway equipment should accompany stable patients to radiology in case of deterioration.
  • There is a wide differential for stridor, but this can be narrowed based on the timing of stridor in the respiratory cycle, age of patients, and acuity."