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Canadian Journal of Anesthesia, Vol 24, 1-11, Copyright © 1977 by Canadian Anesthesiologists' Society

Acute Epiglottitis In Children: Management of 27 Consecutive Cases with Nasotracheal Intubation, with Special Emphasis on Anaesthetic Considerations

VICTOR F. BLANC 1, MICHEL L. WEBER 2, CLAUDE LEDUC 1, RÉJEAN LABERGE 1, ROGER DESJARDINS 2, and GILLES PERREAULT 3

1 Department of Anaesthesiology, Hôpital Sainte-Justine pour les Enfants and Université de Montréal
2 Departments of Paediatrics, Otolaryngology, Hôpital Sainte-Justine pour les Enfants and Université de Montréal
3 Department of Radiology, Hôpital Sainte-Justine pour les Enfants and Université de Montréal

Twenty-seven consecutive cases of acute epiglottitis in children were treated by nasotracheal intubation during a 25-month period.

The duration of intubation averaged 44.2 hours. No mortality or morbidity occurred. Mean hospitalization was 4.5 days.

Anaesthetic techniques are discussed. Ketamine is a somewhat controversial choice for these patients as it can enhance excitement, restlessness, and accidental extubation.

This study reconfirms the ease of maintaining an assured airway by nasotracheal intubation in cases of acute epiglottitis.






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Copyright © 1977 by the Canadian Anesthesiologists' Society.