WikiAnesthesia - User contributions [en]

Epiglottitis

2026-01-25T15:03:51Z

Osonderman:

{{Infobox comorbidity
| other_names =
| anesthetic_relevance = High
| anesthetic_management = Inhalational induction to maintain spontaneous respirations; Immediate securement of the patient's airway in the operating room due to high risk for critical airway obstruction
| specialty = ENT
| signs_symptoms = - The 4 "D's": dyspnea, dysphagia, drooling, dysphonia
- typically presents in children age 2-5 years
- Fever as high as 40 degreees Celcius
| diagnosis = Clinical suspicion; "thumb print" sign on lateral neck X-ray
| treatment = Emergent securement of the airway, subsequent antibiotics and steroids
| image =
| caption =
}}

Epiglottitis is inflammation of the epiglottis typically secondary to an infectious process. The most common causative bacterium historically was Haemophilus influenzae type B. However, with the advancement of vaccination, other causative agents such as Streptococcus pneumoniae or viruses are now more common.

Traditionally, children ages 2-5 years of age were most likely to present with epiglottitis. However, older children and adults may also be afflicted.

== Anesthetic implications ==

=== Preoperative optimization===

=== Intraoperative management===

=== Postoperative management ===

== Related surgical procedures ==

== Pathophysiology ==

== Signs and symptoms ==

== Diagnosis ==

== Treatment ==

=== Medication ===

=== Surgery ===

=== Prognosis ===

== Epidemiology ==

== References ==

[[Category:Comorbidities]]

Epiglottitis

2026-01-25T13:55:06Z

Osonderman:

Epiglottitis

2026-01-25T13:35:40Z

Osonderman:

Epiglottitis

2026-01-25T13:34:33Z

Osonderman: initial description; planning to add additional information

{{Infobox comorbidity
| other_names =
| anesthetic_relevance = High
| anesthetic_management = Immediate securement of the patient's airway in the operating room due to high risk for critical airway obstruction
| specialty = ENT
| signs_symptoms = - The 4 "D's": dyspnea, dysphagia, drooling, dysphonia
- typically presents in children age 2-5 years
- Fever as high as 40 degreees Celcius
| diagnosis = Clinical suspicion; "thumb print" sign on lateral neck X-ray
| treatment = Emergent securement of the airway, subsequent antibiotics and steroids
| image =
| caption =
}}

Provide a brief summary of this comorbidity here.

== Anesthetic implications ==

=== Preoperative optimization ===

=== Intraoperative management ===

=== Postoperative management ===

== Related surgical procedures ==

== Pathophysiology ==

== Signs and symptoms ==

== Diagnosis ==

== Treatment ==

=== Medication ===

=== Surgery ===

=== Prognosis ===

== Epidemiology ==

== References ==

[[Category:Comorbidities]]

Endobronchial ultrasound-guided transbronchial needle aspiration

2024-03-13T16:33:39Z

Osonderman:

{{Infobox surgical procedure
| anesthesia_type = General
| airway = 9.0 ETT
| lines_access = PIV
| monitors = Standard +/- arterial line
| considerations_preoperative = Pulmonary function, cardiac pathology
| considerations_intraoperative = Prolonged apnea time, ventilator strategy to prevent atelectasis
| considerations_postoperative = hemorrhage/pneumothorax/respiratory failure
}}

Provide a brief summary of this surgical procedure and its indications here.

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|Toleration of prolonged (5-20 minutes) apnea
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management===

=== Positioning ===

=== Maintenance and surgical considerations===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|Supine
|
|-
|Surgical time
|30 min- 2 hours
|
|-
|EBL
|minimal
|
|-
|Postoperative disposition
|PACU to home
|
|-
|Pain management
|Counsel to expect sore throat from large ETT
|
|-
|Potential complications
|hemorrhage/pneumothorax/respiratory failure
|
|}

== References ==

[[Category:Surgical procedures]]

Endobronchial ultrasound-guided transbronchial needle aspiration

2024-03-13T16:29:26Z

Osonderman: continued minor edits

{{Infobox surgical procedure
| anesthesia_type = General
| airway = 9.0 ETT
| lines_access = PIV
| monitors = Standard +/- arterial line
| considerations_preoperative = Pulmonary function, cardiac pathology
| considerations_intraoperative = Prolonged apnea time, ventilator strategy to prevent atelectasis
| considerations_postoperative = hemorrhage/pneumothorax/respiratory failure
}}

Provide a brief summary of this surgical procedure and its indications here.

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|Toleration of prolonged (5-20 minutes) apnea
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management===

=== Positioning ===

=== Maintenance and surgical considerations===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|Supine
|
|-
|Surgical time
|30 min- 2 hours
|
|-
|EBL
|minimal
|
|-
|Postoperative disposition
|PACU to home
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]

Endobronchial ultrasound-guided transbronchial needle aspiration

2024-03-13T14:23:08Z

Osonderman: continuing to add more trails/info

{{Infobox surgical procedure
| anesthesia_type = General
| airway = 9.0 ETT
| lines_access = PIV
| monitors = Standard +/- arterial line
| considerations_preoperative = Pulmonary function, cardiac pathology
| considerations_intraoperative = Prolonged apnea time, ventilator strategy to prevent atelectasis
| considerations_postoperative = hemorrhage/pneumothorax/respiratory failure
}}

Provide a brief summary of this surgical procedure and its indications here.

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|Toleration of prolonged (5-20 minutes) apnea
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===

=== Positioning ===

=== Maintenance and surgical considerations===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|Supine
|
|-
|Surgical time
|30 min- 2 hours
|
|-
|EBL
|minimal
|
|-
|Postoperative disposition
|PACU to home
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]

Endobronchial ultrasound-guided transbronchial needle aspiration

2024-03-13T14:18:46Z

Osonderman: added basic case information; will be adding sources and more detailed information subsequently

{{Infobox surgical procedure
| anesthesia_type = General
| airway = 9.0 ETT
| lines_access = PIV
| monitors = Standard +/- arterial line
| considerations_preoperative = Pulmonary function, cardiac pathology
| considerations_intraoperative = Prolonged apnea time, ventilator strategy to prevent atelectasis
| considerations_postoperative = hemorrhage/pneumothorax/respiratory failure
}}

Provide a brief summary of this surgical procedure and its indications here.

== Preoperative management ==

=== Patient evaluation ===
{| class="wikitable"
|+
!System
!Considerations
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|Toleration of prolonged (5-20 minutes) apnea
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

=== Labs and studies ===

=== Operating room setup ===

=== Patient preparation and premedication ===

=== Regional and neuraxial techniques ===

== Intraoperative management ==

=== Monitoring and access ===

=== Induction and airway management ===

=== Positioning ===

=== Maintenance and surgical considerations ===

=== Emergence ===

== Postoperative management ==

=== Disposition ===

=== Pain management ===

=== Potential complications ===

== Procedure variants ==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Position
|Supine
|
|-
|Surgical time
|30 min- 2 hours
|
|-
|EBL
|minimal
|
|-
|Postoperative disposition
|PACU to home
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

== References ==

[[Category:Surgical procedures]]