ENTEmergency Medicine
Stridor in Adult
Inspiratory / biphasic stridor in adult — urgent ENT + anaesthetic; identify cause.
Source: ENT UK; DAS
Step 1 of ~3
info
Recognise + Identify Cause
Stridor: high-pitched musical sound from upper airway obstruction.
Red flags: tripoding, drooling, voice change, accessory muscle use, hypoxia, hypercapnia, exhaustion, ALOC.
Differentials: anaphylaxis, angioedema (ACE-I, hereditary), epiglottitis (adult — fever, drooling, sore throat), foreign body, laryngeal tumour, bilateral vocal cord paralysis, tracheal stenosis (post-intubation, GPA, sarcoid), deep neck infection (Ludwig's, retropharyngeal abscess), inhalation injury / burn, goitre with retrosternal extension, traumatic.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Propofol · Anaesthetic (IV Induction / Sedation)
- Ketamine (Anaesthesia/Sedation) · Dissociative Anaesthetic (NMDA Receptor Antagonist)
- Propofol (TCI / TIVA) · Intravenous Anaesthetic Agent
- Sevoflurane · Volatile Inhalational Anaesthetic
- Desflurane · Volatile Inhalational Anaesthetic
- Isoflurane · Volatile Inhalational Anaesthetic
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only. Always apply local guidelines and clinical judgement.