Acute epiglottic abscess in adults: Still a challenge!

Tantry, Thrivikrama Padur; Hrishi, Ajay Prasad; Koteshwar, Reshma; Shenoy, Sachin J.; Adappa, Karunakara K.

doi:10.4103/0970-9185.83711

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…(99)(100)(101) However, in severe AAO, AFOI should be avoided, due to a number of factors. AFOI requires a calm, cooperative patient, which is unlikely in severe AAO.…”

Section: Direct or Indirect Laryngoscopymentioning

confidence: 99%

Anaesthetic management of acute airway obstruction

Wong¹,

Wong²,

Mok³

2016

smedj

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The acutely obstructed airway is a medical emergency that can potentially result in serious morbidity and mortality. Apart from the latest advancements in anaesthetic techniques, equipment and drugs, publications relevant to our topic, including the United Kingdom's 4th National Audit Project on major airway complications in 2011 and the updated American Society of Anesthesiologists' difficult airway algorithm of 2013, have recently been published. The former contained many reports of adverse events associated with the management of acute airway obstruction. By analysing the data and concepts from these two publications, this review article provides an update on management techniques for the acutely obstructed airway. We discuss the principles and factors relevant to the decision-making process in formulating a logical management plan.

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“…(99)(100)(101) However, in severe AAO, AFOI should be avoided, due to a number of factors. AFOI requires a calm, cooperative patient, which is unlikely in severe AAO.…”

Section: Direct or Indirect Laryngoscopymentioning

confidence: 99%

Anaesthetic management of acute airway obstruction

Wong¹,

Wong²,

Mok³

2016

smedj

View full text Add to dashboard Cite

show abstract

An Atypical Cause of an Epiglottic Abscess

Rabeea¹,

H²,

Abdulla³

2019

Case Reports in Infectious Diseases

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Epiglottic abscess and the management of a ‘precious airway’: A case study

Smith¹,

Loizou²,

Smith³

2017

Otorhinolaryngol Head Neck Sur

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An epiglottic abscess is a rare, life-threatening cause of acute airway obstruction with a mortality of 30%, requiring immediate management with a multidisciplinary specialist team. Since HiB immunisation was introduced epiglottitis and epiglottic abscess incidence has dramatically reduced, though it has risen again in recent times due to other pathogens.We present a case of a 45-year-old gentleman who presented with odynophagia, throat pain and reduced oral intake. He was diagnosed using CT imaging with contrast and flexible nasolaryngoscopy and commenced on IV antibiotics and steroids. Definitive management of the airway was achieved with an awake fibreoptic intubation (AFOI) with tracheostomy set on standby. He underwent a second washout in theatres day 6 and was extubated day 7. Prior to discharge, he experienced postextubation dysphagia that fully recovered prior to his discharge day 13. This paper explores the need for prompt securing of the airway, the advantages of AFOI and the post-operative course of epiglottic abscesses.

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Acute epiglottic abscess in adults: Still a challenge!

Cited by 3 publications

References 4 publications

Anaesthetic management of acute airway obstruction

Anaesthetic management of acute airway obstruction

An Atypical Cause of an Epiglottic Abscess

Epiglottic abscess and the management of a ‘precious airway’: A case study

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