Introduction
Physical Examination
Differential Diagnosis
Specific Diseases
Epiglottitis
Clinical
Diagnosis
Airway management
Supportive therapy
Viral croup
Foreign body
aspiration
Retropharyngeal
abscess
References
Other Lectures
|
|
Supportive therapy includes IV hydration, humidification of the air to the ETT and administration of oxygen as necessary. Because of the possibility of ampicillin-resistant H. influenzae, most people use cefotaxime or ceftriaxone (100 to 150 mg/kg/d). Blood cultures are positive in 80% of patents. Oral antibiotics should be continued after extubation for a total of 7 to 10 days. Steroids are not necessary. Sedation may be required for the duration of intubation, although verbal reassurance is often adequate, especially in the older child. Consideration should be given to rifampin prophylaxis, according to the recommended guidelines and dosages.
|
