[Pseudocroup. Treatment in hospital]

Abstract

Although croup is the most common form of airway obstruction in small children, there is debate as to the correct medical care for the hospitalized patient. A critical review of published articles was performed. It was found that a scoring system was essential for observation. There is only little information concerning the use of humidified air. Inhaled racemic epinephrine has a well-demonstrated effect. New studies indicate that L-epinephrine is as effective and safe as racemic epinephrine. Dexamethasone in doses greater than 0.6 mg/kg is effective in decreasing the length and the severity of respiratory symptoms associated with croup. When intubation is necessary steroids reduced the duration of intubation and the need for reintubation.