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Unbound Medicine.
(AsthmaNefrin racepinephrine )
141 results
  • Prediction Model for Croup Admission Need. [Journal Article]
    Hosp Pediatr. 2022 08 01; 12(8):711-718.Maalouli W, Petersen A, … Hester GZ
  • CONCLUSIONS: The croup admission need predictive model appears to support clinical decision making in the ED, with the potential to improve decision making when pediatric expertise is limited.
  • Inpatient use of racemic epinephrine for children admitted with croup. [Journal Article]
    World J Pediatr. 2019 Dec; 15(6):586-594.Chiang E, Afandi O, … Ramgopal S
  • CONCLUSIONS: Patients hospitalized for croup with recent use of steroids prior to ED presentation have a greater need for > 2 RE during hospitalization. The majority who require inpatient RE will do so within 8-12 hours. These data provide information for risk stratification and duration of monitoring for patients hospitalized with croup.
  • Croup Admissions: Can We Shrink the Elephant in the Room? [Journal Article]
    Pediatr Emerg Care. 2021 Dec 01; 37(12):e940-e943.Maalouli WM, Hodges JS
  • CONCLUSIONS: There appear to be promising predictors in croup patients presenting to the ED, which might help stratify risk for interventions after the ED encounter and thus reduce the number of potentially avoidable admissions.
  • Uncommon presentation of a common disease: influenza A presenting as adult croup . [Case Reports]
    BMJ Case Rep. 2018 Jun 04; 2018Shaikh N, Dy P, … Shah S
  • An 88-year-old woman presented to our emergency room with complaints of fever, coryza, barking cough and generalised fatigue for 2 days. Physical examination showed stridor, tachypnoea with use of accessory muscles of respiration on admission. Laboratory tests were unremarkable except for monocytosis with a normal total white cell count. Rapid influenza diagnostic test was positive for influenza …
  • Steeple sign: a case of croup. [Case Reports]
    Adv Emerg Nurs J. 2015 Apr-Jun; 37(2):79-82.Hoyt KS, Shea SS
  • Croup, or laryngotracheobronchitis, is a common viral respiratory tract illness seen in the pediatric population (). This article describes the case of a child who presents with croup and the characteristic "steeple sign" seen on the radiograph. The patient received a diagnosis of croup secondary to the parainfluenza virus infection. It is imperative for advanced practice nurses to recognize the …
  • Subglottic laryngitis--Changes in therapy approach over the past 20 years. [Journal Article]
    Auris Nasus Larynx. 2015 Oct; 42(5):390-5.Penezić A, Ivkić M, … Baudoin T
  • CONCLUSIONS: Main novelties included the use of racemic epinephrine and downfall of antibiotic, antihistaminic and humidification therapy use, while corticosteroids remained the cornerstone in the treatment of moderately severe subglottic laryngitis. Differences between approaches among specialities are minimized during 20-year period.
  • Viral croup: diagnosis and a treatment algorithm. [Review]
    Pediatr Pulmonol. 2014 May; 49(5):421-9.Petrocheilou A, Tanou K, … Kaditis AG
  • Viral croup is a frequent disease in early childhood. Although it is usually self-limited, it may occasionally become life-threatening. Mild croup is characterized by the presence of stridor without intercostal retractions, whereas moderate-to-severe croup is accompanied by increased work of breathing. A single dose of orally administered dexamethasone (0.15-0.6 mg/kg) is the mainstay of treatmen…
  • The clinical management of preterm infants with bronchiolitis. [Journal Article]
    Hosp Pediatr. 2013 Jul; 3(3):244-50.Alverson B, McCulloh RJ, … Koehn KL
  • CONCLUSIONS: Management decisions among term and premature infants with bronchiolitis were similar. Premature infants who received albuterol were more likely to receive steroids; however, the decision regarding steroid use was not associated with documentation of efficacy of albuterol.
  • Nebulized epinephrine for croup in children. [Review]
    Cochrane Database Syst Rev. 2013 Oct 10Bjornson C, Russell K, … Johnson DW
  • CONCLUSIONS: Nebulized epinephrine is associated with clinically and statistically significant transient reduction of symptoms of croup 30 minutes post-treatment. Evidence does not favor racemic epinephrine or L-epinephrine, or IPPB over simple nebulization.The authors note that data and analyses were limited by the small number of relevant studies and total number of participants and thus most outcomes contained data from very few or even single studies.
  • Racemic adrenaline and inhalation strategies in acute bronchiolitis. [Randomized Controlled Trial]
    N Engl J Med. 2013 Jun 13; 368(24):2286-93.Skjerven HO, Hunderi JO, … Lødrup Carlsen KC
  • CONCLUSIONS: In the treatment of acute bronchiolitis in infants, inhaled racemic adrenaline is not more effective than inhaled saline. However, the strategy of inhalation on demand appears to be superior to that of inhalation on a fixed schedule. (Funded by Medicines for Children; ClinicalTrials.gov number, NCT00817466; EudraCT number, 2009-012667-34.).
  • Nebulized epinephrine for croup in children. [Review]
    Cochrane Database Syst Rev. 2011 Feb 16Bjornson C, Russell KF, … Johnson DW
  • CONCLUSIONS: NE is associated with clinically and statistically significant transient reduction of symptoms of croup 30 minutes post-treatment. Evidence does not favor racemic epinephrine or LE, or IPPB over simple nebulization.
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