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Emergency management of meningococcal disease
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Other responses

  • Published on:
    Re: Are cuffed endotracheal tubes really indicated in the management of meningococcal disease?

    Dear Editor,

    Pedley et al[1] raise concerns about the risk of upper airway trauma resulting from the use of cuffed endotracheal tubes (ETT) in paediatric airway management and indicate that they prefer to avoid the use of cuffed tubes in the acute management of children with meningococcal disease.

    Experience from neonatal intensive care, paediatric anaesthesia and paediatric intensive care indicate that...

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    Conflict of Interest:
    None declared.
  • Published on:
    Are cuffed endotracheal tubes really indicated in the management of meningococcal disease?
    Dear Editor,

    Posters relating to the early management of meningococcal disease have recently been distributed, by the Meningitis Research Foundation, to Accident and Emergency departments in the United Kingdom. These guidelines are derived from an article by Pollard et al[1] and provide a useful algorithm for the initial management of this serious condition.

    However, we note the section on elective intubation a...

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    Conflict of Interest:
    None declared.
  • Published on:
    Lumbar puncture and meningococcal disease
    • R Chodhari, Consultant Paediatrician
    • Other Contributors:
      • N Sharief

    Dear Editor

    We read with interest Professor Gill’s[1] concerns about complete avoidance of lumbar puncture (LP) in the emergency management of meningococcal disease according to the algorithm suggested by Pollard and colleagues.[2] However, from public health perspective, we agree with Professor Gill's remarks that the correct diagnosis and identification of strains would help in prophylaxis of contacts and prev...

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    Conflict of Interest:
    None declared.