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2 results

  • Paediatric airway emergencies in Northern Ireland, 1990–2003

  • B Devlin, K Golchin, R Adair
  • Journal:
    The Journal of Laryngology & Otology / Volume 121 / Issue 7 / July 2007
    Published online by Cambridge University Press:
    02 March 2007, pp. 659-663
    Print publication:
    July 2007

  • The management of paediatric airway emergencies is part of ENT practice. The most common conditions are acute viral laryngotracheobronchitis (croup), acute epiglottitis and bacterial tracheitis. Management of these conditions is significantly different and accurate diagnosis is crucial. We performed a retrospective analysis of all acute airway admissions to the paediatric intensive care unit (PICU) at the Royal Belfast Hospital for Sick Children from 1990 to 2003. The results showed a gradual decrease in the number of admissions due to croup. Acute epiglottitis admissions decreased markedly after 1992 but rose again in 2000, with a peak in 2002. Bacterial tracheitis is now the most common paediatric airway emergency requiring PICU admission and its incidence has been steadily increasing since 1990, peaking in 2003. The total number of admissions showed little change over the 14-year period audited. The significant shift in the nature of these conditions and these findings confirm the ongoing requirement for caution in dealing with a suspected airway emergency.

  • Lack of efficacy of humidification in the treatment of croup: Why do physicians persist in using an unproven modality?

  • Elana Lavine, Dennis Scolnik
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 3 / Issue 3 / July 2001
    Published online by Cambridge University Press:
    21 May 2015, pp. 209-212
    Print publication:
    July 2001
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  • Background:

    Humidification is a time-honoured therapy for childhood croup (acute laryngotracheobronchitis). Despite a paucity of evidence supporting its use, many physicians, nurses and parents still apply this treatment. Our objective was to summarize available evidence and assess the rationale for the ongoing use of humidity to treat childhood croup.

    Methods:

    Searches of both MEDLINE and the Cochrane Database were conducted for English-language original or review literature on the treatment of croup with humidity, for the years 1966-1999.

    Results:

    Only 2 published studies have attempted to evaluate humidification therapy for croup, and none has been published since 1984. There is no published evidence to support the commonly held empirical view that humidity helps alleviate the symptoms of childhood croup, and no understanding of which factors of moisture or temperature affect patient outcomes. Risks may include scalding and unnecessary discomfort.

    Interpretation:

    There is no strong evidence supporting the use of humidity in the treatment of croup. Although such treatment is still widely used, it is not without risk, and further trials are required to address its efficacy.