Summary and References

Croup is a common pediatric respiratory infection characterized by barking cough, stridor, and hoarseness due to inflammation of the upper airway. Racemic or L-epinephrine provides rapid but temporary relief of airway obstruction in moderate-severe croup. Dexamethasone reduces inflammation and prevents symptom recurrence. Supportive care with oxygen, hydration, and antipyretics is important.

References

1. Alberta Clinical Practice Guidelines Guideline Working Group. Guidelines for the diagnosis and management of croup. Available at: www.topalbertadoctors.org/download/252/croup_guideline.pdf (Accessed on March 13, 2015).
2. Bickert NM, Kaliner M. Fever. In: Selbst SM, ed. Pediatric Emergency Medicine Secrets. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015:83-90. Accessed May 31, 2018.
3. Aregbesola A, Tam CM, Kothari A, et al. Glucocorticoids for croup in children. Cochrane Database Syst Rev 2023; 1:CD001955.
4. Bjornson CL, Russell K, Vandermeer B, et al. Nebulized epinephrine for croup in children. Cochrane Database Syst Rev 2013; :CD006619.
5. Marcdante KJ, Kliegman RM. Acute Inflammatory Upper Airay Obstruction (Croup, epiglottitis, laryngitis, and bacterial tracheitis). In: Marcdante, Karen J. and Robert Kliegman. Nelson Essentials of Pediatrics. 8th edition. Philadelphia: Elsevier/Saunders, 2018. Accessed June 24, 2018.
6. Zorc JJ. Pediatric Fever. In: Marx, J. A., & Rosen, P. (2018). Rosen’s emergency medicine: concepts and clinical practice. 9th ed. Philadelphia, PA: Elsevier/Saunders. Accessed May 31, 2018.
7. Johnson D. Croup. Clin Evid 2005; :310.
8. Kairys SW, Olmstead EM, O’Connor GT. Steroid treatment of laryngotracheitis: a meta-analysis of the evidence from randomized trials. Pediatrics 1989; 83:683.