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Podcast 886: Cough in Kids
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Manage episode 395494009 series 1397179
Contributor: Ricky Dhaliwal, MD
Educational Pearls:
Croup
Caused by:
Parainfluenza, Adenovirus, RSV, Enterovirus (big right now)
Age range:
6 months to 3 years
Symptoms:
Barky cough
Inspiratory stridor (Severe = stidor at rest)
Use the Westley Croup Score to gauge the severity
Treatment:
High flow, humidified, cool oxygen
Dexamethasone 0.6 mg/kg oral, max 16mg
Severe: Racemic Epinephrine 0.5 mL/kg
Consider heliox, a mixture of helium and oxygen
Very severe: be ready to intubate
Bronchiolitis
Caused by:
RSV, Rhinovirus
Symptoms are driven by secretions
Symptoms:
Cough
Wheezing
Dehydration (often the symptom that makes them look the worst)
Age range:
2 to 6 months
Treatment:
Suctioning
Oxygen
IV fluids
Nebulized hypertonic saline
DuoNebs? No.
Asthma
Caused by:
Environmental factors
Viral illness with a predisposition
Treatment:
Beta agonists
Steroids
Ipratropium
Magnesium (relaxes smooth muscle)
References
Dalziel SR, Haskell L, O'Brien S, Borland ML, Plint AC, Babl FE, Oakley E. Bronchiolitis. Lancet. 2022 Jul 30;400(10349):392-406. doi: 10.1016/S0140-6736(22)01016-9. Epub 2022 Jul 1. PMID: 35785792.
Hoch HE, Houin PR, Stillwell PC. Asthma in Children: A Brief Review for Primary Care Providers. Pediatr Ann. 2019 Mar 1;48(3):e103-e109. doi: 10.3928/19382359-20190219-01. PMID: 30874817.
Midulla F, Petrarca L, Frassanito A, Di Mattia G, Zicari AM, Nenna R. Bronchiolitis clinics and medical treatment. Minerva Pediatr. 2018 Dec;70(6):600-611. doi: 10.23736/S0026-4946.18.05334-3. Epub 2018 Oct 18. PMID: 30334624.
Smith DK, McDermott AJ, Sullivan JF. Croup: Diagnosis and Management. Am Fam Physician. 2018 May 1;97(9):575-580. PMID: 29763253.
Westley CR, Cotton EK, Brooks JG. Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study. Am J Dis Child. 1978 May;132(5):484-7. doi: 10.1001/archpedi.1978.02120300044008. PMID: 347921.
Summarized by Jeffrey Olson | Edited by Meg Joyce & Jorge Chalit, OMSII
1052 эпизодов
Fetch error
Hmmm there seems to be a problem fetching this series right now. Last successful fetch was on May 06, 2024 11:18 ()
What now? This series will be checked again in the next day. If you believe it should be working, please verify the publisher's feed link below is valid and includes actual episode links. You can contact support to request the feed be immediately fetched.
Manage episode 395494009 series 1397179
Contributor: Ricky Dhaliwal, MD
Educational Pearls:
Croup
Caused by:
Parainfluenza, Adenovirus, RSV, Enterovirus (big right now)
Age range:
6 months to 3 years
Symptoms:
Barky cough
Inspiratory stridor (Severe = stidor at rest)
Use the Westley Croup Score to gauge the severity
Treatment:
High flow, humidified, cool oxygen
Dexamethasone 0.6 mg/kg oral, max 16mg
Severe: Racemic Epinephrine 0.5 mL/kg
Consider heliox, a mixture of helium and oxygen
Very severe: be ready to intubate
Bronchiolitis
Caused by:
RSV, Rhinovirus
Symptoms are driven by secretions
Symptoms:
Cough
Wheezing
Dehydration (often the symptom that makes them look the worst)
Age range:
2 to 6 months
Treatment:
Suctioning
Oxygen
IV fluids
Nebulized hypertonic saline
DuoNebs? No.
Asthma
Caused by:
Environmental factors
Viral illness with a predisposition
Treatment:
Beta agonists
Steroids
Ipratropium
Magnesium (relaxes smooth muscle)
References
Dalziel SR, Haskell L, O'Brien S, Borland ML, Plint AC, Babl FE, Oakley E. Bronchiolitis. Lancet. 2022 Jul 30;400(10349):392-406. doi: 10.1016/S0140-6736(22)01016-9. Epub 2022 Jul 1. PMID: 35785792.
Hoch HE, Houin PR, Stillwell PC. Asthma in Children: A Brief Review for Primary Care Providers. Pediatr Ann. 2019 Mar 1;48(3):e103-e109. doi: 10.3928/19382359-20190219-01. PMID: 30874817.
Midulla F, Petrarca L, Frassanito A, Di Mattia G, Zicari AM, Nenna R. Bronchiolitis clinics and medical treatment. Minerva Pediatr. 2018 Dec;70(6):600-611. doi: 10.23736/S0026-4946.18.05334-3. Epub 2018 Oct 18. PMID: 30334624.
Smith DK, McDermott AJ, Sullivan JF. Croup: Diagnosis and Management. Am Fam Physician. 2018 May 1;97(9):575-580. PMID: 29763253.
Westley CR, Cotton EK, Brooks JG. Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study. Am J Dis Child. 1978 May;132(5):484-7. doi: 10.1001/archpedi.1978.02120300044008. PMID: 347921.
Summarized by Jeffrey Olson | Edited by Meg Joyce & Jorge Chalit, OMSII
1052 эпизодов
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