Croup is an acute upper respiratory syndrome, typically viral in origin, that usually is seen in children. A subset of the condition named “spasmodic (recurrent) croup” may be an allergic reaction to viral antigens. In either case, the pathology is the same, and the clinical presentations are similar. Croup is characterized by hoarseness, a barky cough, inspiratory stridor, and varying degrees of respiratory distress.
1Clinical manifestations are a direct result of the inflammation, edema, and consequent narrowing of the tracheal walls, particularly in the subglottic area where the pediatric upper airway is the narrowest. This condition is in effect a fixed airway obstruction.
- Brown JC
The management of croup.
Br Med Bull. 2002; 61: 189-202
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Air Medical Journal
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The management of croup.Br Med Bull. 2002; 61: 189-202
- Heliox treatment of severe croup.Am J Emerg Med. 2000; 18: 735-736
- A randomized comparison of helium-oxygen mixture (heliox) and racemic epinephrine for the treatment of moderate to severe croup.Pediatrics. 2001; 107 (Available at: www.pediatrics.org/cgi/content/full/107/6/e96)
- The effect of heliox on croup: a pilot study.Acad Emerg Med. 1998; 5: 1130-1133
- Heliox versus air-oxygen mixtures for the treatment of patients with acute asthma.Chest. 2003; 123: 882-890
- Heliox redux.Chest. 2003; 123: 673-675
- Heliox for status asthmaticus?.Chest. 2003; 123: 676-677
- Viral croup: current diagnosis and treatment.Mayo Clin Proc. 1998; 73: 1102-1107
- Croup (laryngotracheobronchitis).in: Schwartz MW The 5 minute pediatric consult. 2nd ed. Williams, & Wilkins, Philadelphia: Lippincott2000: 292-293
- Acute pulmonary edema in a child with spasmodic croup.Am J Emerg Med. 1997; 15: 211-213
- Pulmonary edema associated with airway obstruction.Can J Anaesth. 1990; 37: 210-218
- Pulmonary edema and croup.Pediatrics. 1980; 65: 860
- Efficacy of helium-oxygen mixtures in the management of severe viral and postextubation croup.Can Anaesth Soc J. 1979; 26: 206-212
- Helium-oxygen mixtures as adjunctive support for refractory viral croup.Ohio State Med J. 1982; 10: 729-730
☆The authors gratefully acknowledge the assistance of Julie Sohnly, RN, in reviewing the contents of this article and Janet Van Nest and Kirsten Rega in preparing it for submission.
© 2004 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.