Print

Print


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:
>   http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
 
 
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:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html