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Assessment, diagnosis and treatment of children who present with stridor

Andriana Summers1

  • 1Airedale General Hospital, Airedale NHS Foundation Trust, Keighley, West Yorkshire, England.

Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association
|November 9, 2022
PubMed

Insights

Stridor in children indicates upper airway obstruction, commonly caused by viral croup or foreign body aspiration. This article details stridor causes, viral croup diagnosis, and evidence-based management strategies.

Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Otolaryngology

Background:

  • Stridor in children signals partial upper airway obstruction, with causes ranging from benign to life-threatening.
  • Common etiologies include viral croup (laryngotracheobronchitis) and foreign body aspiration.
  • Accurate diagnosis and timely management are crucial for pediatric patients presenting with stridor.

Purpose of the Study:

  • To provide a comprehensive overview of stridor in children.
  • To detail the signs, symptoms, and diagnostic criteria for viral croup.
  • To discuss evidence-based assessment, treatment, and disposition criteria for pediatric stridor.

Main Methods:

  • Literature review of stridor and viral croup.
  • Synthesis of current evidence on diagnosis and management.
  • Inclusion of a case study for illustrative purposes.

Main Results:

  • Stridor presentation varies based on underlying etiology.
  • Viral croup is characterized by specific clinical signs and diagnostic findings.
  • Evidence-based guidelines exist for assessment, treatment, and disposition.

Conclusions:

  • Prompt recognition of stridor is essential in pediatric care.
  • Viral croup requires specific diagnostic and management approaches.
  • Adherence to evidence-based criteria ensures optimal patient outcomes for pediatric stridor.

Keywords:
cardiorespiratorychild healthclinicalemergency careemergency departmentsinfectionspatient assessmentpatientsprofessionalrespiratoryviral infections

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