An 8-year-old boy presented to the pediatric emergency room with respiratory distress and wheezing. He was sitting up with his jaw thrust forward. Although not cyanotic, he had inspiratory and expiratory wheezing, labored breathing, and stridor. He was frightened and anxious but remained alert and cooperative. A diagnosis of epiglottitis was considered. Personnel from surgery, pediatrics, otolaryngology, and anesthesiology were notified. Vital signs on admission were blood pressure, 110/70mmHg; pulse, 120/min; respirations, 30/min; temperature, 101°F orally. No attempt was made to obtain blood work or to examine the throat or epiglottis.
KeywordsForeign Body Airway Obstruction Esophageal Atresia Branchial Arch Tracheal Stenosis
Unable to display preview. Download preview PDF.
- 1.Kingston H.G.: Airway problems in pediatric patients. Problems in Anesthesia 1988, 2(4): 545–65.Google Scholar
- 2.Cote C.J.: How to manage the difficult pediatric airway. Amer Soc Anes Las Vegas, 1990, No. 262.Google Scholar
- 6.Rhine E.J., Johnson G.G.: Upper airway obstruction in pediatrics. Clinics in Anesthesiology 1985, 3(3): 721–38.Google Scholar
- 9.Khan M.: Common pediatric airway emergencies. Anesthesiology Review 1982, 9(2): 29–33.Google Scholar
- 12.Berry F.A.: Acute airway obstruction with special emphasis on epiglottitis and croup in Berry F.A. (ed): Anesthetic Management of Difficult and Routine Pediatric Patients. New York: Churchill Livingstone, 1990, pp. 243–65.Google Scholar