WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

Search

Content:

Monday, March 14, 2022

Epiglottitis

emDocs
emDocs - March 12, 2022 - By Rachel Bridwell  / Reviewed by: Alex Koyfman; Brit Long
Pearls
  • More common in adults who present with odynophagia, dysphagia, and over a more subacute time frameNormal oropharynx occurs in 90% of adults with epiglottitis
  • Lateral neck radiographs are a screening tool which may show the thumbprint or vallecula sign though have a high false positive rate
  • Factors associated with increased rates of intubation are diabetes mellitus, symptoms over 12-24 hours, stridor, drooling, tachypnea, hypercarbia, epiglottic abscess, and subglottic extension
  • Airway management has shifted from intubation/surgical airway in the operating room to awake fiberoptic intubation
  • Corticosteroids and nebulized epinephrine may assist in decompensating patients, but the literature is controversial