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Canadian Journal of Anesthesia, Vol 9, 467-478, Copyright © 1962 by Canadian Anesthesiologists' Society

Acute Laryngotracheobronchitis and Epiglottitis

JOSE K. ROSALES M.D.1 and HAROLD T. DEVENPORT M.B., F.F.A.R.C.S.1

1 Departments of Anaesthesia of The Montreal Children's Hospital and McGill University, Montreal

The clinical features of acute laryngotracheobronchitis and acute epiglottitis are presented as anaesthetists may help considerably in the care of patients with these conditions, and often assist in the correct diagnosis by laryngoscopy.

We have reviewed 245 patients treated at The Montreal Children's Hospital in the last six years. There have been two deaths, one from the primary infection,and one from a tracheotomy complication, in the larger group of acute laryngotracheobronchitis. Not one of 51 patients with acute epiglottitis died, but nearly all had a tracheotomy.

The practice of relieving respiratory obstruction whenever possible before an anaesthetic is given, and performing a tracheotomy if is doubtful, seems justified.

Note:
Presented at the Annual Meeting, Canadian Anaesthetists' Society, May 14–17, 1962.






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Copyright © 1962 by the Canadian Anesthesiologists' Society.