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Management of airway obstruction and stridor in pediatric patients

Ashley Marchese1, Melissa L. Langhan2

  • 1Department of Pediatrics, Yale-New Haven Hospital, New Haven, CT

Pediatric Emergency Medicine Practice
|October 19, 2017
PubMed

Insights

Stridor, a sound from upper airway obstruction, can stem from various causes in children, including infections and congenital issues. Prompt evaluation and management are crucial for effective treatment in emergency settings.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Stridor results from turbulent airflow through the trachea due to upper airway obstruction.
  • While common in children due to croup, stridor can also indicate noninfectious, congenital, or life-threatening conditions.

Purpose of the Study:

  • To discuss common and life-threatening etiologies of acute and chronic stridor.
  • To outline stridor management strategies in the emergency department.

Main Methods:

  • Review of stridor etiologies.
  • Discussion of diagnostic approaches including history and physical examination.
  • Outline of emergency management principles.

Main Results:

  • History and physical examination are key to initial stridor management.
  • Management strategies include reducing airway inflammation, treating infections, and considering imaging or surgical intervention.
  • The issue covers a spectrum of stridor causes and emergency treatments.

Conclusions:

  • Effective stridor management relies on accurate diagnosis of its underlying cause.
  • Prompt intervention is essential, especially for life-threatening etiologies presenting in the emergency department.

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