Note: IV dexamethasone can be given orally Either 0
≥2 hours since last racemic epinephrine treatment (if received) ≤2 racemic epinephrine within 4 hours
6 mg/kg for the Treatment of Moderate to Severe Croup ; Efficacy of a Small Single Dose of Oral Dexamethasone for Outpatient Croup: a Double Blind Placebo Controlled Clinical Trial ; Oral Dexamethasone in the Treatment of Croup: 0
Sample sizes tended to be small with a median of 72 (interquartile range (IQR) 54 to 99) children
15 mg/kg is effective) with no expectation of benefit before 4-6 h
Clinical Symptoms of Croup: • Symptoms increase at night and improve during day o Hoarse voice o Dexamethasone is a glucocorticoid medication used to treat rheumatic problems, a number of skin diseases, severe allergies, asthma, chronic obstructive lung disease, croup, brain swelling, eye pain following eye surgery, superior vena cava syndrome (a complication of some forms of cancer), and along with antibiotics in tuberculosis
If the child is too unwell to receive oral treatment, inhaled budesonide (2 mg nebulised as a single dose) or intramuscular dexamethasone (0
Severe croup: 0
15 mg/kg may be as effective as the standard dose of 0
Use the consensus croup algorithm (appendix 1) for classifying severity and managing accordingly
Investigators randomized 199 patients to receive oral dexamethasone (0
Overall, corticosteroids have gained universal acceptance for the treatment of croup and have been found to be effective, well tolerated, and inexpensive
Children with croup have a distinctive barking cough and will make a harsh sound, known as stridor, when they breathe in
Studies have suggested benefit from parenteral, oral, and even nebulized steroid administration, as well as efficacy at varying doses (such as 0
Further study is warranted to determine effective steroid recommendations for pediatric COVID-19 croup patients
These results suggest low dose dexamethasone 0
It is a one-time dose given in the ER that is effective for about four days, so no further doses are needed at home
5 for prednisolone