Abstract
ACUTE epiglottitis is a serious infection of the supraglottic structures, which carries the potential for lethal, total airway obstruction necessitating urgent airway management. In epiglottitis, a protocol that involves tracheal intubation after administration of general anesthesia induced by inhalation anesthetic has been recommended. 1 However, the airway obstruction may worsen or become complete as the patient becomes anesthetized or when the airways are manipulated. Sevoflurane has been reported to have a minimal effect on respiratory mechanics, with little airway irritation when used for anesthesia induction. 2 We describe three cases of epiglottitis necessitating urgent airway management in which tracheal intubation was performed successfully during administration of sevoflurane inhalation anesthesia.
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