Source: Annual Congress 2002 - Treatment and outcome of acute respiratory failure in chronic disease
Disease area: Paediatric lung diseases

Abstract

Croup syndrome, is very often in pediatric pathology, appeared as spasm of soft muscle and/or edema of larynx's mycosis. It arises suddenly and more often at night with inspiratory stridor, laryngeal cough and signs of respiratory distress.
The aim of this study is to evaluate the effect of therapy on severe form of Croup Syndrome.
Material and methods: We investigated data of 60 children, at the age of 6 months to 4 yr. (mean age = 18 months). According to severity of the Syndrome and its sign expression (Taussig Croup Score), we classified two groups of children: I. moderate (0-6) in 20 children and II. severe (7-10) in 40 children. Second group children were hospitalized, monitored. They were treated on the base of this protocol: 1. Nebulized Epinephrine (L form 1:1000), in lack of racemic Epinephrine; 2. Hydrosoluble corticosteroid with fast action (Solucortef) as initial therapy and after that Metilprednizolone (parenteral), with duration of 24-48 hours in relation with symptoms; 3. Antibiotics- if it was necessary.
Results: This was the treatment with good results. Our patients were in improved condition for 24 hours. In addition, rehydratation, symptomatic therapy, bronchodilatatory (in the case of bronchoobstruction), oxygen therapy (the most severe forms) were conducted.
Conclusion: We have very good experience with this treatment protocol. In all of the children improvement was achieved in 24-48 hours. The L form of Epinephrine was very successful in lack of racemic Epinephrine. None of children have had impaired condition. There was no need of mechanic ventilation or tracheotomy.

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Citations should be made in the following way:
M. Caparoska, S. Galbova, J. Buzarov, I. Lazarevska, S. Petrovska (Skopje, Macedonia). Severe form of croup syndrome - treatment. Eur Respir J 2002; 20: Suppl. 38, 605

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