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Pediatric Stridor

Date Last Search Run: Feb 01, 2022
Table last updated: May 02, 2021
Data last added: May 08, 2014

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)      
2 (fair evidence exists)      
3 (weak evidence exists)    


Interventions

Epinephrine-Nebulized
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) DC from ED Process ED-MD Ledwith CA., Shea LM., Mauro RD. Safety and efficacy of nebulized racemic epinephrine in conjunction with oral dexamethasone and mist in the outpatient treatment of croup. Ann Emerg Med 1995; 25(3):331-337. Medline
X Not Yet Graded (White) - Udoh I, Heegeman D, Ravi S. Retrospective Evaluation of Return Rates in Pediatric Patients Treated With Inhaled Racemic Epinephrine for Croup. WMJ 2022; 121(1):26–9. Medline

Hypertonic Saline-Nebulized
Level Direction Primary Outcome Patient/Process Setting Reference

Oxygen
Level Direction Primary Outcome Patient/Process Setting Reference

Oxygen-Humidified
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Discharge from ED Process ED-MD Ledwith CA., Shea LM., Mauro RD. Safety and efficacy of nebulized racemic epinephrine in conjunction with oral dexamethasone and mist in the outpatient treatment of croup. Ann Emerg Med 1995; 25(3):331-337. Medline

Oxymetry Monitoring
Level Direction Primary Outcome Patient/Process Setting Reference

Steroids-Oral
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) DC from ED Process ED-MD Ledwith CA., Shea LM., Mauro RD. Safety and efficacy of nebulized racemic epinephrine in conjunction with oral dexamethasone and mist in the outpatient treatment of croup. Ann Emerg Med 1995; 25(3):331-337. Medline


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