What is Acute epiglottitis?

A rare but serious infection of the epiglottis

What bug is Acute epiglottitis usually caused by?

Haemophilus influenzae type B

What is the most important factor in managing Acute epiglottitis?

immediate senior involvement, including those able to provide emergency airway support do NOT examine the throat due to the risk of acute airway obstruction

What are the features of Acute epiglottitis?

• rapid onset
• high temperature, generally unwell
• stridor
• drooling of saliva
• 'tripod' position: the patient finds it easier to breathe if they are leaning forward and extending their neck in a seated position

How is Acute epiglottitis diagnosed?

made by direct visualisation (by someone who can interbate) but can be seen on xray

What is seen on xray in Acute epiglottitis?

a lateral view in acute epiglottis will show swelling of the epiglottis - the 'thumb sign'