signs & symptoms

(back to contents)


differential diagnosis

(back to contents)

A patient presents with both the uncommon infection uvulitis and epiglottitis

— Cleveland Clinic MD (@CleClinicMD) May 16, 2017


(back to contents)

lateral neck x-ray

Image of the Week: Epiglottitis

— NEJM (@NEJM) September 3, 2019

neck CT scan
bedside nasolaryngoscopy

Flexible nasoendoscopy or nasal endoscopy is a simple diagnostic procedure performed routinely by Ear Nose & Throat Surgeons as part of a routine examination. Here, Eric performs it on himself. It’s easy as! #meded #ENTsurgery

— Dr Eric Levi (@DrEricLevi) June 23, 2020

blood cultures

medical management

(back to contents)


epiglottic abscess

(back to contents)

management implications

indications for intubation

(back to contents)

general concepts regarding airway management in epiglottitis 
possible indications for intubation
not necessarily indications for intubation
role of flexible nasolaryngoscopy to determine need for intubation?

intubation procedure

(back to contents)

intubation is fraught with hazard
scenario #1:  the crashing epiglottitis patient (extremely rare!)
scenario #2:  the non-crashing epiglottitis patient

extubation procedure

(back to contents)


(back to contents)

Follow us on iTunes

The Podcast Episode

Want to Download the Episode?
Right Click Here and Choose Save-As

questions & discussion

(back to contents)

To keep this page small and fast, questions & discussion about this post can be found on another page here.

Guide to emoji hyperlinks 🔗

Going further


  • 03042183  Baxter FJ, Dunn GL. Acute epiglottitis in adults. Can J Anaesth. 1988;35(4):428-435. doi:10.1007/BF03010869  [PubMed]
  • 18728917  Kim SG, Lee JH, Park DJ, et al. Efficacy of spinal needle aspiration for epiglottic abscess in 90 patients with acute epiglottitis. Acta Otolaryngol. 2009;129(7):760-767. doi:10.1080/00016480802369302  [PubMed]
  • 25931293  Lee YC, Lee JW, Park GC, Eun YG. Efficacy of Spinal Needle Aspiration in Patients with Epiglottic Abscess: A Prospective, Randomized, Controlled Study. Otolaryngol Head Neck Surg. 2015;153(1):48-53. doi:10.1177/0194599815583475  [PubMed]
  • 27031010  Lichtor JL, Roche Rodriguez M, Aaronson NL, Spock T, Goodman TR, Baum ED. Epiglottitis: It Hasn't Gone Away. Anesthesiology. 2016;124(6):1404-1407. doi:10.1097/ALN.0000000000001125  [PubMed]
  • 27247205  Takata M, Fujikawa T, Goto R. Thumb sign: acute epiglottitis. BMJ Case Rep. 2016;2016:bcr2016214742. Published 2016 May 31. doi:10.1136/bcr-2016-214742  [PubMed]
  • 28931508  Sadeghirad B, Siemieniuk RAC, Brignardello-Petersen R, et al. Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887. Published 2017 Sep 20. doi:10.1136/bmj.j3887  [PubMed]
  • 29564363  Chen C, Natarajan M, Bianchi D, Aue G, Powers JH. Acute Epiglottitis in the Immunocompromised Host: Case Report and Review of the Literature. Open Forum Infect Dis. 2018;5(3):ofy038. Published 2018 Feb 17. doi:10.1093/ofid/ofy038  [PubMed]
  • 30207030  Baird SM, Marsh PA, Padiglione A, et al. Review of epiglottitis in the post Haemophilus influenzae type-b vaccine era. ANZ J Surg. 2018;88(11):1135-1140. doi:10.1111/ans.14787  [PubMed]
  • 30613442  Ramlatchan SR, Kramer N, Ganti L. Back to Basics: A Case of Adult Epiglottitis. Cureus. 2018;10(10):e3475. Published 2018 Oct 22. doi:10.7759/cureus.3475  [PubMed]
  • 31173373  Sideris A, Holmes TR, Cumming B, Havas T. A systematic review and meta-analysis of predictors of airway intervention in adult epiglottitis. Laryngoscope. 2020;130(2):465-473. doi:10.1002/lary.28076  [PubMed]