A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics
In children, acute epiglottitis is rapidly fatal due to airway obstruction by swollen supraglottic structures, but the oedema is short-lived. Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction. We have tried b...
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| Veröffentlicht in: | Journal of laryngology and otology 1986-11, Vol.100 (11), p.1273-1278 |
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| container_end_page | 1278 |
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| container_issue | 11 |
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| container_title | Journal of laryngology and otology |
| container_volume | 100 |
| creator | Odetoyinbo, Olujimi |
| description | In children, acute epiglottitis is rapidly fatal due to airway obstruction by swollen supraglottic structures, but the oedema is short-lived. Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction. We have tried both methods in 15 children over a period of three years under conditions of limited material and human resources. Tracheostomy was found to be safer. It was concluded that it is better to have a live healthy child with a small scar in the neck than a dead child without a scar. |
| doi_str_mv | 10.1017/S0022215100100969 |
| format | Article |
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Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction. We have tried both methods in 15 children over a period of three years under conditions of limited material and human resources. Tracheostomy was found to be safer. It was concluded that it is better to have a live healthy child with a small scar in the neck than a dead child without a scar.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215100100969</identifier><identifier>PMID: 3794532</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Acute Disease ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Emergency and intensive care: neonates and children. Prematurity. 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Laryngol. Otol</addtitle><description>In children, acute epiglottitis is rapidly fatal due to airway obstruction by swollen supraglottic structures, but the oedema is short-lived. Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction. We have tried both methods in 15 children over a period of three years under conditions of limited material and human resources. Tracheostomy was found to be safer. It was concluded that it is better to have a live healthy child with a small scar in the neck than a dead child without a scar.</description><subject>Acute Disease</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Epiglottitis - therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Intensive care medicine</subject><subject>Intubation, Intratracheal - mortality</subject><subject>Laryngitis - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>Tracheotomy</subject><subject>Tropical medicine</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF2L1DAUhoMo67j6A7wQeiHeVZM0TZrLZdFdZUDWj-twJj2dydomY5KCi3_elKlzIwiBA3me93B4CXnJ6FtGmXr3lVLOOWsZpeVpqR-RDVOiq1sh6WOyWXC98KfkWUr3tGiK8gty0Sgt2oZvyO-ryobpCNGl4KswVOj7kCPYA8JYOZ_nHWRXEPi-Ov2HlMP0UFiVD1hN4GGPE_q8pMHOGSs8uv0YcnbZpcWzBzf2Ef3fTI7h6Gx6Tp4MMCZ8sc5L8v3D-2_Xt_X2883H66ttbQVVuZZWd8CoRUuV5lzLhgNgwzXtOVdcdFwPKEH1Wkg1CAFy6NhQWug5lZ3sm0vy5rT3GMPPGVM2k0sWxxE8hjkZpThljDZFZCfRxpBSxMEco5sgPhhGzVK4-afwknm1Lp93E_bnxNpw4a9XDsnCOETw1qWz1tFGSCaLVp80lzL-OmOIP4xUjWqNvLkzrf7Eb7_cCbMtfrOeCtMuun6P5j7M0Zce_3PsHxB2pr4</recordid><startdate>19861101</startdate><enddate>19861101</enddate><creator>Odetoyinbo, Olujimi</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>19861101</creationdate><title>A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics</title><author>Odetoyinbo, Olujimi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-6c98a10cec079229632aae3290d22724829fe6a7d9467f44a6f81f748d20686d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Acute Disease</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Epiglottitis - therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Intensive care medicine</topic><topic>Intubation, Intratracheal - mortality</topic><topic>Laryngitis - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pneumology</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>Tracheotomy</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Odetoyinbo, Olujimi</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Odetoyinbo, Olujimi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>1986-11-01</date><risdate>1986</risdate><volume>100</volume><issue>11</issue><spage>1273</spage><epage>1278</epage><pages>1273-1278</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>In children, acute epiglottitis is rapidly fatal due to airway obstruction by swollen supraglottic structures, but the oedema is short-lived. Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction. We have tried both methods in 15 children over a period of three years under conditions of limited material and human resources. Tracheostomy was found to be safer. It was concluded that it is better to have a live healthy child with a small scar in the neck than a dead child without a scar.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>3794532</pmid><doi>10.1017/S0022215100100969</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-2151 |
| ispartof | Journal of laryngology and otology, 1986-11, Vol.100 (11), p.1273-1278 |
| issn | 0022-2151 1748-5460 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77201103 |
| source | MEDLINE; Cambridge Journals |
| subjects | Acute Disease Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Child, Preschool Emergency and intensive care: neonates and children. Prematurity. Sudden death Epiglottitis - therapy Humans Infant Intensive care medicine Intubation, Intratracheal - mortality Laryngitis - therapy Male Medical sciences Pneumology Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Respiratory system : syndromes and miscellaneous diseases Specific populations (family, woman, child, elderly...) Tracheotomy Tropical medicine |
| title | A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics |
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