epiglottitis/hypoxia

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[Acute epiglottitis in childhood].

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Report on 44 cases of acute epiglottitis in childhood. All of these had typical local findings and there was positive proof of bacterial growth. The incidence and occurrence of symptoms and principal signs is discussed. The high incidence of wrong diagnoses is remarkable. 4 out of 44 patients died

Airway endoscopy in the interdisciplinary management of acute epiglottitis.

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BACKGROUND Acute epiglottitis (AE) continues to cause life-threatening airway obstruction in children. The aim of this retrospective study was to evaluate deficiencies in the management of AE, to clarify the role of airway endoscopy, and to establish the cause of death in this disease. METHODS The

Adult respiratory distress syndrome in a child with acute epiglottitis.

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Intubation of a 23-month-old child suffering epiglottitis was complicated by pulmonary edema progressing to the adult respiratory distress syndrome. Increased pulmonary shunt and pulmonary hypertension required high levels of positive end-expiratory pressure and prolonged mechanical ventilation to

Special considerations in epiglottitis in children.

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The often perplexing clinical findings in acute epiglottitis are produced by the relative absence of cyanosis and hypercapnia in the face of severe hypoxemia, since expiration and CO2 elimination are not impaired. A serious situation arises when intubation is unseccessful. Six hundred

Review of epiglottitis in the post Haemophilus influenzae type-b vaccine era.

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BACKGROUND This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016

Pulmonary edema associated with croup and epiglottitis.

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Two children, ages 9 and 2 1/2 years, with clinical diagnoses of laryngotracheitis (croup) and epiglottis, respectively, developed florid pulmonary edema without evidence of cardiac enlargement. Both children responded to vigorous therapy, which included endotracheal intubation, mechanical

Lingual tonsillar hypertrophy causing failed intubation and cerebral anoxia.

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Hypertrophy of the lingual tonsils is an unusual condition that may cause complications such as airway obstruction, abscess, sleep apnea, and recurrent epiglottitis. There have been reports of difficult anesthesic intubation in children with enlarged lingual tonsils. We describe a 24-year-old woman

Pulmonary edema following relief of acute upper airway obstruction.

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Five children, aged one to five years, with severe upper airway obstruction, three of whom had epiglottitis and two of whom had laryngotracheobronchitis, developed acute pulmonary edema after the obstruction had been relieved by placement of an artificial airway. Although major physiologic changes,

Telling patients about medical negligence.

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A 7-year-old boy, diagnosed as having croup, develops an upper airway obstruction due to epiglottitis during the therapy, resulting in cerebral anoxia. Pediatricians to whom the boy is referred feel that failure to consider epiglottitis in the original diagnosis constitutes negligence. The parents

Acute dyspnea in the office.

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Respiratory difficulty is a common presenting complaint in the outpatient primary care setting. Because patients may first seek care by calling their physician's office, telephone triage plays a role in the early management of dyspnea. Once the patient is in the office, the initial goal of

Diagnosis and treatment of croup.

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Croup is a common childhood disease that has no specific diagnostic test. It must be differentiated from life-threatening diseases, such as epiglottitis, that demand specific interventions. A high degree of toxicity, the presence of dysphagia and the absence of cough help distinguish epiglottitis

Croup.

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Viral croup is the most common form of upper airway obstruction in children 6 months to 6 years of age. It typically presents in the late fall or early winter, is often preceded by an upper respiratory infection, and is characterized by a low-grade fever, barking cough, and inspiratory stridor.

[Interdisciplinary therapeutic concept in severe bacterial infections of the central respiratory tract in childhood].

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BACKGROUND Apart from all advances made in the management of central airway infections, Acute Epiglottitis (AE) and Bacterial Tracheitis (BT) continue to be causes of life-threatening airway obstruction in children. The aim of this retrospective study was to evaluate deficiencies in the diagnostical

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