Routine tracheotomy in Hemophilus influenzae type b epiglottitis

Acute epiglottitis in children— (An evaluation of the role of tracheotomy)

“…Since the introduction of long-term nasal intubation in the management of acute epiglottitis, the treatment of choice has been a matter of debate. Viewing the literature, one may get an impression of two opposing points of view: one represented by the anaesthetists/paediatricians and a few laryngologists, and the other by the majority of laryngologists (Benjamin and O'Reilly, 1976;Brunell and Jeppson, 1969;Johnson et al, 1974;Margolis et al, 1972). There is, however, one approach which is totally disregarded by everyone dealing with this condition, i.e.…”

Epiglottitis due to nontypeable Haemophilus influenzae in a vaccinated child

“…Tracheotomy was the common treatment of epiglottitis as recent as the 1970s [2]. More recently, endotracheal intubation and parenteral antibiotic therapy were the standard of care.…”

Tracheotomie bei Kindern - Komplikationen und Spätfolgen*

“…Auch zu früheren Zeitpunkten entschiedene Befürworter der Tracheotomie ziehen nun die Dauerintubation vor (51,52). Die permanente Konfrontation mit der differenten Meinung der Pädiater veranlaf?te uns, das eigene Krankengut diesbezüglich kritisch zu analysieren, denn wie auch andere Autoren (2,3,4, 7,8, 17, 25,26,27,30,32,34,36,37,38,39,43,46,63) hatten wir ganz gegenteilige Eindrücke von den Erfolgen und Folgen der Tracheotomie bei Kindern.…”