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Dr. Geraci's discussion of acute epiglottitis1 is a good one, as well as a reminder of the increased need of liason between the pediatric and anesthesiology departments.
Lost in his discussion, is the very controversial use of rectal thiopental in children with airway problems. The hand of the phsician is no longer on the throttle when using these drugs rectally. Duration of action, absorption, and the potential of delayed sequellae (larynglospasm ) are open to doubt and hazard.