In suspected epiglottitis, which management detail is critical?

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Multiple Choice

In suspected epiglottitis, which management detail is critical?

In suspected epiglottitis the airway is extremely at risk because swelling can rapidly progress to complete obstruction. The most critical management detail is to avoid any agitation of the airway. Do not provoke coughing, crying, or attempts to visualize or manipulate the airway in a way that could irritate it. Keep the patient calm and in a comfortable, often upright position, provide oxygen as tolerated, and prepare for potential advanced airway management. Advanced airway placement may be required, and this should be done by experienced providers with the equipment for a difficult airway, since the swollen airway can make intubation challenging or unpredictable.

In suspected epiglottitis the airway is extremely at risk because swelling can rapidly progress to complete obstruction. The most critical management detail is to avoid any agitation of the airway. Do not provoke coughing, crying, or attempts to visualize or manipulate the airway in a way that could irritate it. Keep the patient calm and in a comfortable, often upright position, provide oxygen as tolerated, and prepare for potential advanced airway management. Advanced airway placement may be required, and this should be done by experienced providers with the equipment for a difficult airway, since the swollen airway can make intubation challenging or unpredictable.

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