Acute stridor

	Don't disturb children...
History	Context - infectious vs instrumentation e.g. post-extubation laryngospasm
Examination	Inspect for respiratory distress
Diagnostic investigations	CT head/neck → will lying them flat kill them? FNE?
Differentials	Anaphylaxis Epiglottitis, tracheitis, Retropharyngeal abscess → child appears unwell Croup (a viral laryngotracheobronchitis)
Immediate management	see below Laryngospasm - reposition, PEEP, deepen anaesthesia Nebulised adrenaline - paeds: 0.4mg/kg
Ongoing management

Impending airway doom

generic approach

Escalate and ask for help early
Where is the place of safety? → resus, theatres?
Sit patient up, keep calm

`airway doom from infections, abscesses etc.`

Escalate and ask for help early
Where is the place of safety? → resus, theatres?
Sit patient up, keep calm
IV Dexamethasone? Adrenaline neb?

`airway doom from blood, foreign body...`

see Impending bleeding doom | Airway assessment

#airway #emergencies

#core-presentation #incomplete #airway

sources/links

https://www.rcemlearning.co.uk/reference/basic-airway-management/
https://www.derangedphysiology.com/files/Pediatric%20Life%20Support%2015%20-%20Emergency%20management%20of%20the%20child%20with%20stridor.pdf
https://derangedphysiology.com/main/required-reading/paediatrics/Chapter-215/child-stridor