stridor

[DrBrown]

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I would like some opinions on how to differentiate on clinical exam alone the difference between supraglottic and infraglottic pathology in a patient with stridor. I am an Anesthesiologist so I am most concerned with supraglottic pathology preventing me from bag mask ventilating the patient after induction. We usually go by history and various scans or mirror/endoscopic exams performed by the ENT Doc. But what if those were not available, ie patient comes in distress without any work up. I welcome your posts, references would be great. Thanks for your perspective.

 

[Pir8DeacDoc]

Generally inspiratory is supraglottic, glottic is mixed/either, and infraglottic is expiratory.

 

[resxn]

Generally inspiratory is supraglottic, glottic is mixed/either, and infraglottic is expiratory.

doesn't get any more clear than that; and it's correct.

 

[OtoHNS]

Just make sure to pronounce it "streedor" for the amusement of myself and other ENTs.

This was a frequent occurrence among the pediatrons at my residency.

 

[Pir8DeacDoc]

Just make sure to pronounce it "streedor" for the amusement of myself and other ENTs.

This was a frequent occurrence among the pediatrons at my residency.

Or just call every noise the patient makes stridor; whether it be stertor, wheezing, etc.

 

[OtoHNS]

Or just call every noise the patient makes stridor; whether it be stertor, wheezing, etc.

"But I heard the noise when I listened to the patient's neck with my stethescope!!?!?!??!" 😕😕😕