Fatal respiratory arrest in adult epiglottitis in the intensive care unit. Implications for airway management.

A 64-year-old man with acute epiglottitis, monitored in an ICU without an artificial airway, suffered sudden fatal respiratory arrest 36 h after admission despite rapid emergency interventions. This case demonstrates the importance of adequate airway protection in adult epiglottitis even within an ICU setting. A protocol for airway management for such patients is presented.