Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (5): 136-144.doi: 10.6040/j.issn.1673-3770.0.2023.163

• Review • Previous Articles    

Treatment options and management strategies for patients with acute laryngotracheobronchitis

WANG Zhenxiao, SHI Guanggang, HE Mingqiang, SHI Lei   

  1. Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial Hospital, Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2024-09-25

Abstract: Croup, also known as laryngotracheitis, is a respiratory illness characterized by inspiratory stridor, barking cough, and hoarseness. It typically occurs in children between the ages of six months and three years, and is chiefly caused by the parainfluenza virus. Most children with croup present with a mild self-limited illness that can be managed as outpatients. The clinician must be able to determine which patients can be managed at home, which require evaluation and treatment in the hospital setting. There is currently no established definitive antiviral for croup. Pharmacologic therapy aims to reduce airway edema, and supportive care focuses on providing respiratory support and maintaining adequate hydration. The mainstays of treatment are glucocorticoids and nebulized epinephrine. The approach to the management of croup will be discussed in this report. The clinical features, evaluation, and diagnosis of croup are discussed separately.

Key words: Croup, Westley croup score, Glucocorticoids, Nebulized epinephrine

CLC Number: 

  • R767.11
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