KEVIN ROMA wrote:
> Recently had a child who presented with classic croup symptomology
> score of 4-5 .Started child on mist and B agonist and added to the regimen
> nebulized Dexamethasone .1 mg/kg Child did extremely well.This
> treatment was mentioned in Clinical Practice of EMERGENCY MEDICINE
> (ANN HARWOOD _NUSS) Does any one know of a study using this treatment?My
> lit search was uneventful.Any practicioners with personal experince using
> this treatment?
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
You may want to check the following articles,
Johnson et al Arch Pediatr Adolesc Med 1996;150:349-53
"Nebulized dexamethasone is not effective in reducing hospitals
admissions or clinical outcomes at 24 hours"
Fitzgerald et al Pediatrics May 1996;97:722-5
"Nebulized budesonide (2mg) is as effective as nebulized adrenaline
(4mg/4ml)in moderately severe croup in the ED".
Hope this helps,
Luis F. Saca, MD
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: