quick reference
pathophysiology
•Upper airway edema and inflammation
epidemiology / etiology
Viral etiology– parainfluenza (most commonly) but others
Most common in kids 3 months to 3 years, fall and winter
clinical features
•Signs and Symptoms
- Barky cough, stridor, respiratory distress, subclavicular retractions
diagnosis
Clinical!
other
•Treatment
•Hydration and cool mist humidifier
•Freezer air can relieve symptoms
•Steroids if stridor with exertion
•Dexamethasone 0.6 mg/kg (2-3 day half life)
•Orapred 2mg/kg/day for 3-5 days
•Racemic epi if stridor at rest
Intubation if fails racemic epi