Tibballs J, Watson T. Symptoms and signs differentiating croup and epiglottitis. J Paediatr Child Health. A randomized trial of a single dose of oral dexamethasone for mild croup. Glucocorticoids for croup. Cochrane Database Syst Rev. The Cochrane Library and safety of systemic corticosteroids for acute respiratory conditions in children: an overview of reviews.
Evid Based Child Health. The comparative effectiveness of prednisolone and dexamethasone for children with croup: a community-based randomized trial. Clin Pediatr Phila. Nebulized epinephrine for croup in children. Efficacy of nebulized L-epinephrine for treatment of croup: a randomized, double-blind study. Fundam Clin Pharmacol. Moore M, Little P. Humidified air inhalation for treating croup: a systematic review and meta-analysis. Fam Pract. Controlled delivery of high vs low humidity vs mist therapy for croup in emergency departments: a randomized controlled trial.
Heliox for croup in children. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp.
Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. May 1, Issue. Croup: Diagnosis and Management. Author disclosure: No relevant financial affiliations. C 5 , 6 Humidified air inhalation does not improve symptoms in patients with moderate croup. B 27 Corticosteroids should be administered to patients with croup of any severity. A 21 , 22 Epinephrine should be administered to patients with moderate to severe croup. TABLE 1. TABLE 2. Algorithm for the management of croup.
Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue.
Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. References show all references 1. More in Pubmed Citation Related Articles. Email Alerts Don't miss a single issue.
Sign up for the free AFP email table of contents. Navigate this Article. Corticosteroids should be administered to patients with croup of any severity. Epinephrine should be administered to patients with moderate to severe croup. High fever, barking cough, respiratory distress, and rapid deterioration. Neck radiography irregular tracheal mucosa and CBC. Acute onset of barking cough, stridor, and hoarseness.
Neck radiography thickened epiglottis and CBC. Foreign body aspiration. Neck radiography, neck CT, and airway endoscopy. Stridor worse with crying. Recurrent episodes of barking cough and stridor. Progressive airway symptoms. Lateral neck radiography and CT. Peritonsillar abscess.
Retropharyngeal abscess. Fever, drooling, dysphagia, odynophagia, and neck pain. Exposure to heat, smoke, or chemical. Level of consciousness. Close mobile search navigation Article navigation. Volume 22, Issue 1. Previous Article Next Article. Article Navigation. Articles January 01 This Site. Google Scholar. Leonard R. Krilov Leonard R. Pediatr Rev 22 1 : 5— Cite Icon Cite. Objectives After completing this article, readers should be able to:. Clarify the definition and terminology of viral croup.
List the etiologic agents associated with viral croup. Describe the pathogenesis of viral croup. Delineate the clinical signs and symptoms associated with viral croup.
Children who improve with these treatments may be sent home, but children who are very ill should remain in the hospital. Antibiotics are used only in the rare situation when a child with croup also develops a bacterial infection. Rarely, a ventilator Mechanical Ventilation Mechanical ventilation is use of a machine to aid the movement of air into and out of the lungs. Some people with respiratory failure need a mechanical ventilator a machine that helps air get Merck and Co.
From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics.
Respiratory Disorders in Infants and Children. Test your knowledge. Kawasaki disease is inflammation of the blood vessels vasculitis throughout the body. In which of the following body parts is inflammation of the blood vessels likely to cause the most serious problems? More Content. Click here for the Professional Version. Croup is caused by viruses. Parainfluenza viruses. Sound of the cough.
A doctor distinguishes croup by its characteristic symptoms, especially the sound of the cough. Most children with croup recover completely. For mild illness, fluids and humidified air. Did You Know
0コメント