Related Experiment Video

Updated: Jul 20, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K

Variation in Organizational Clinical Practice Guidelines for Croup

Kelly R Bergmann1,2, Brian Lefchak1,2, Amanda Nickel3

  • 1Departments of Pediatric Emergency Medicine.

Hospital Pediatrics
|August 7, 2023
PubMed

Insights

Clinical practice guidelines (CPGs) for croup vary significantly among US children's hospitals. This study highlights inconsistencies in racemic epinephrine use and observation times, suggesting a need for standardization.

Area of Science:

  • Pediatric Emergency Medicine
  • Clinical Practice Guidelines
  • Respiratory Illnesses

Background:

  • Croup is a frequent pediatric emergency department (ED) diagnosis.
  • Limited understanding exists regarding current clinical practice guidelines (CPGs) for croup management.
  • Variability in CPGs can impact patient care and outcomes.

Purpose of the Study:

  • To investigate the prevalence and characteristics of croup CPGs in US children's hospitals.
  • To identify variations in treatment recommendations, admission criteria, and observation periods within these guidelines.

Main Methods:

  • A survey was conducted among hospitals participating in the Pediatric Health Information System.
  • Hospitals were queried for their most recent croup CPGs and any revisions.
  • Data on treatment recommendations (e.g., racemic epinephrine use), observation times, and admission criteria were extracted and analyzed.

Main Results:

  • Twenty out of thirty-eight (52.6%) responding hospitals had specific croup CPGs.
  • Significant variation was observed in the number of racemic epinephrine doses recommended before admission (1-3 doses).
  • Guidelines differed on indications for racemic epinephrine and recommended ED observation times, with most recommending less than 2 hours.

Conclusions:

  • Substantial heterogeneity exists in current croup CPGs across children's hospitals.
  • The findings underscore a need for developing standardized croup management protocols.
  • Future standardization efforts could improve consistency and potentially optimize care for pediatric croup.
Abstract

More Related Videos

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

50.0K
Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia13:27

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia

Published on: May 6, 2014

48.1K

Related Concept Videos

Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
721
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
679
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
135
Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
2.6K
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K