Journal Basic Info
- Impact Factor: 0.285**
- H-Index: 6
- ISSN: 2638-4558
- DOI: 10.25107/2638-4558
Major Scope
- Allergy & Immunology
- Signs and Symptoms-Clinical Findings
- Genetics
- Dermatology and Cosmetology
- Medical Radiography
- Emergency Medicine and Critical Care
- Nutrition and Dietetics
- Endocrinology
Abstract
Citation: Clin Case Rep Int. 2022;6(1):1380.DOI: 10.25107/2638-4558.1380
Adult Epiglottitis Threatening Airway: Back to Basics and C.A.S.H. Treatment
Keerthi J, Tanmay Y, Mustajab MA, Deepak S, Santvana K, Sahil D, Harish CS and Arin C
Department of Anesthesia and Intensive Care, VMMC and Safdarjung Hospital, India
*Correspondance to: Santvana Kohli
PDF Full Text Case Report | Open Access
Abstract:
Infections involving the upper airway, especially epiglottitis (commonly caused by Haemophilus influenzae) have gained importance in the adult population in recent years, due to widespread vaccination against H. influenzae (HiB vaccine) in pediatric age group. Such infections may present with only fever, sore throat, voice change and odynophagia, or may have a more fulminant presentation including threatened airway and sepsis, requiring ICU admission and definitive airway placement. We present a case of an adult diabetic male, who presented to casualty with threatened airway caused by to epiglottitis and pharyngitis. He was managed with videolaryngoscopy guided endotracheal intubation, antibiotics, and ICU admission. Supportive treatment with C.A.S.H. (CPAP, Adrenaline, Steroids and Heliox) needs to be stressed upon when dealing with most upper airway obstructive causes. We present a case of acute epiglottitis in an uncontrolled diabetic male patient, with obstructed airway, requiring endotracheal intubation and ICU care. Antibiotics and C.A.S.H. treatment led to a successful recovery.
Keywords:
Airway Management; Epiglottitis; Endotracheal intubation; ENT; Intensive Care; Tracheostomy
Cite the Article:
Keerthi J, Tanmay Y, Mustajab MA, Deepak S, Santvana K, Sahil D, et al. Adult Epiglottitis Threatening Airway: Back to Basics and C.A.S.H. Treatment. Clin Case Rep Int. 2022; 6: 1380.