How does a child with epiglottitis typically breathe?

In cases of epiglottitis, a child typically presents with difficulty breathing and shows signs of respiratory distress. The classic position adopted by these children is often referred to as the "tripod position," where they are leaning forward, which helps to maximize the airway's opening and ease the passage of air. This position, along with nostril flaring, reflects the child's body's instinctive response to enhance oxygen intake while accommodating the obstruction caused by the swollen epiglottis.

Children may also exhibit other symptoms such as stridor, drooling, and a hoarse voice due to the airway compromise. Therefore, the combination of leaning forward and flaring nostrils is a clear indication of their effort to counteract the airway obstruction, exemplifying their struggle to breathe adequately. This physical manifestation is different from other positions or breathing patterns that would not provide the necessary relief and airflow in such a critical situation.