Patient (condition)
Aliases:
Topic aliases are alternate phrasings for a particular topic.
Croup
Inflammation involving the GLOTTIS or VOCAL CORDS and the subglottic larynx. Croup is characterized by a barking cough, HOARSENESS, and persistent inspiratory STRIDOR (a high-pitched breathing sound). It occurs chiefly in infants and children.
www.nlm.nih.gov/cgi/mesh/...
www.nlm.nih.gov/cgi/mesh/...
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Mar 20, 2013
If a child with croup requires intubation, consider ongoing steroid therapy to reduce airway inflammation prior to extubation (eg IV methylprednisolone 1mg/kg bd)
Reassess for leak in 48hrs. If no leak, consider another 24 hrs of therapy prior to considering extubation.
#TD #ref
Reassess for leak in 48hrs. If no leak, consider another 24 hrs of therapy prior to considering extubation.
#TD #ref
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Apr 02, 2013
Management is based on severity.
Mild to Moderate - Steroids
Severe - Nebulised adrenaline plus steroids
See RCH clinical guidelines for further details
www.rch.org.au/clinicalgu...
Mild to Moderate - Steroids
Severe - Nebulised adrenaline plus steroids
See RCH clinical guidelines for further details
www.rch.org.au/clinicalgu...
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Mar 20, 2013
If IV access is indicated consider the risk that attempting to obtain IV access may agitate the alert child and potentially worsen airway obstruction.
In this context consider reducing airway inflammation non-invasively with nebulised adrenaline and IM Dexamethasone (if indicated) first.
The obtunded child is unlikely to become agitated.
In this context consider reducing airway inflammation non-invasively with nebulised adrenaline and IM Dexamethasone (if indicated) first.
The obtunded child is unlikely to become agitated.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Apr 28, 2013
Lessons from RCH experience
Admit to hospital any children with croup who has stridor at rest
· Beware the child with pre-existing upper airway problems who develops viral croup (rather than being reassured that their baseline is not normal and therefore it’s OK for them to have stridor)
· Don’t send children home with croup in the early hours of the morning, especially if the child has received a disease modifying agent that may or may not work (dexamethasone or adrenaline)
· If a child arrives by ambulance that should lower our threshold for hospital admission
· Three strikes and you’re in (if a child presents a third time during the same acute illness, such as croup, just admit them and sort it out from there)
· If a child needs three doses of adrenaline in the space of 1 hour, admit to PICU
· A child with croup should not be discharged from hospital until they have had one full night without needing adrenaline, and stridor at rest has resolved
Admit to hospital any children with croup who has stridor at rest
· Beware the child with pre-existing upper airway problems who develops viral croup (rather than being reassured that their baseline is not normal and therefore it’s OK for them to have stridor)
· Don’t send children home with croup in the early hours of the morning, especially if the child has received a disease modifying agent that may or may not work (dexamethasone or adrenaline)
· If a child arrives by ambulance that should lower our threshold for hospital admission
· Three strikes and you’re in (if a child presents a third time during the same acute illness, such as croup, just admit them and sort it out from there)
· If a child needs three doses of adrenaline in the space of 1 hour, admit to PICU
· A child with croup should not be discharged from hospital until they have had one full night without needing adrenaline, and stridor at rest has resolved
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Jul 25, 2019
Royal Children's Hospital guideline on management of croup
www.rch.org.au/clinicalgu...
www.rch.org.au/clinicalgu...
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Mar 06, 2013