Alain Vadeboncoeur wrote:
> Anybody got substanciate (litterature based)
> reason to give mist
> in croup for the child you chose to keep in?
> Any difference between viral and spasmodic?
> Thanks for advice.
> Alain Vadeboncoeur MD
> Emergency departement
> Pierre-Boucher Hospital
> Longueuil Quebec
There is not one article in the whole medical
litterature proving the beneficial effet of
humidity. This practice dates back from the boiling
rooms in the 1800's. My feeling is that the
vasocontrictive effect of the cold is more
beneficial than humidity itself.
There is such an overlapping between manifestations
of viral and spasmodic croup that we do not make any
difference between those two "entities" even
regarding administration of dexamethasone.
By the way, we now give dexamethasone P.O. instead
of I.M. for the comfort of the patient (0.6 mg/kg).
Anybody aware of any article or experience regarding
efficacy of P.O. vs I.M.?
Louis Geoffroy, m.d.
Hopital Ste-Justine pour enfants
3175 Chemin Cote Ste-Catherine
Montreal, QC, Canada
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