Epiglottitis Paediatric Management — FRCA Final MCQ

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HardPaediatric AnaesthesiaEpiglottitis Paediatric ManagementFRCA Final

A 7-year-old (22 kg) with acute epiglottitis: sitting, drooling, muffled voice, SpO2 94%. Recommended management?

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Correct answer: C — Gas induction with sevoflurane in 100% O2 in theatre, SV, ENT ready for surgical airway

Acute paediatric epiglottitis: transfer to theatre with minimal disturbance. Gas induction with sevoflurane/100% O2, spontaneous ventilation. ENT scrubbed for emergency surgical airway. Once deep, gentle laryngoscopy, oral intubation with ETT 1-2 sizes smaller. IV access after induction. Do not distress the child.

Reference: APAGBI/ENT-UK – 2023 – Acute upper airway obstruction in children