Croup/Laryngotracheobronchitis (1*)

Question 1

What is this?

What is it usually caused by?

Which age group does it affect?

Answer 1

➊ URTI causing oedema of the larynx

➋ Parainfluenza virus

➌ Children 6 mths – 3 yrs

Question 2

How does it present?

Answer 2

• Barking cough
• Stridor
• Increased WOB
• Hoarse voice
• Fever
• Typically, worse at night

Question 3

How is it managed?

Answer 3

• Avoid agitating child with examination, procedures etc.
• Supportive fluids and rest
• Oral Dexamethasone 0.15mg/kg
• Nebulised Budesonide
• Nebulised Adrenaline