Croup - assessment and management
- PMID: 20485713
Croup - assessment and management
Abstract
Background: Croup is a common childhood disease characterised by sudden onset of a distinctive barking cough that is usually accompanied by stridor, hoarse voice, and respiratory distress resulting from upper airway obstruction. The introduction of steroids in the treatment of croup has seen a significant reduction in hospital admissions and improved outcomes for children.
Objective: This article discusses the key aspects of diagnosing croup and the evidence supporting the different treatment strategies.
Discussion: The assessment of airway, breathing and circulation, focusing on airway, is paramount in treating croup. However, it is important to take care not to cause the child undue distress. In mild to moderate croup, give prednisolone 1.0 mg/kg and review in 1 hour. In severe or life threatening croup, give 4 mL of adrenaline 1:1000 (undiluted) via nebuliser and send immediately to hospital via ambulance.
Similar articles
-
Viral croup: a current perspective.J Pediatr Health Care. 2004 Nov-Dec;18(6):297-301. doi: 10.1016/S0891524504002688. J Pediatr Health Care. 2004. PMID: 15523420 Review.
-
Changing hospital management of croup. What does this mean for general practice?Aust Fam Physician. 2000 Oct;29(10):915-9. Aust Fam Physician. 2000. PMID: 11059078 Review.
-
Croup management in Australia and New Zealand: a PREDICT study of physician practice and clinical practice guidelines.Pediatr Emerg Care. 2008 Jul;24(7):452-6. doi: 10.1097/PEC.0b013e31817de363. Pediatr Emerg Care. 2008. PMID: 18580704
-
Croup.J Fam Pract. 1993 Aug;37(2):165-70. J Fam Pract. 1993. PMID: 8336098 Review.
-
The efficacy of nebulized budesonide in dexamethasone-treated outpatients with croup.Pediatrics. 1996 Apr;97(4):463-6. Pediatrics. 1996. PMID: 8632929 Clinical Trial.
Cited by
-
Initial radiographic tracheal ratio in predicting clinical outcomes in croup in children.Sci Rep. 2019 Nov 29;9(1):17893. doi: 10.1038/s41598-019-54140-y. Sci Rep. 2019. PMID: 31784540 Free PMC article.
-
Pediatric airway compromise due to thyroid storm associated with influenza A infection: A case report.Respir Med Case Rep. 2020 Aug 4;31:101182. doi: 10.1016/j.rmcr.2020.101182. eCollection 2020. Respir Med Case Rep. 2020. PMID: 32802737 Free PMC article.
-
The Role of Oral Steroids in the Treatment of Phonotraumatic Vocal Fold Lesions in Women.Otolaryngol Head Neck Surg. 2019 Mar;160(3):512-518. doi: 10.1177/0194599818804776. Epub 2018 Oct 16. Otolaryngol Head Neck Surg. 2019. PMID: 30322353 Free PMC article. Clinical Trial.
-
JAID/JSC Guidelines for the Treatment of Respiratory Infectious Diseases: The Japanese Association for Infectious Diseases/Japanese Society of Chemotherapy - The JAID/JSC Guide to Clinical Management of Infectious Disease/Guideline-preparing Committee Respiratory Infectious Disease WG.J Infect Chemother. 2016 Jul;22(7 Suppl):S1-S65. doi: 10.1016/j.jiac.2015.12.019. Epub 2016 Jun 15. J Infect Chemother. 2016. PMID: 27317161 Free PMC article. No abstract available.
-
COVID-19 Associated Croup.Curr Pediatr Rev. 2024;20(4):453-457. doi: 10.2174/1573396320666230718100609. Curr Pediatr Rev. 2024. PMID: 37461365 No abstract available.
Publication types
MeSH terms
Substances
LinkOut - more resources
Medical