Skip to main content

Croup (Laryngotracheobronchitis), Pediatric

Lauren Castner, DO, Steven Bin, MD and Amy G. Filbrun, MD, MS Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Croup (laryngotracheobronchitis) is a common respiratory illness in children that presents with hoarseness, a characteristic barking cough, rhinorrhea, and fever.

  • Spasmodic croup (sub...

DIAGNOSIS

HISTORY

  • Croup typically starts with an upper respiratory infection (URI)—rhinorrhea, cough, and congestion.

  • Fever is often present.

  • Within 12 to 48 hours, upper airway obstruction occurs abrupt...

TREATMENT

Initial stabilization 
  • Racemic epinephrine

  • Corticosteroids

  • Oxygen (if needed)

  • Endotracheal intubation is very rarely required, noted to occur about 1% of the time in studies.

GENERAL MEASURES

  • Chil...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • In most cases, the illness is self-limited, lasting 3 to 5 days.

  • A “rebound phenomenon” with worsening of stridor and respiratory distress after ...

ADDITIONAL READING

CODES

ICD9

  • 464.4 Croup

  • 490 Bronchitis, not specified as acute or chronic

ICD10

  • J05.0 Acute obstructive laryngitis [croup]

  • J40 Bronchitis, not specified as acute or chronic

SNOMED

  • 71186008 Croup (disorder)

  • 859...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×