טיפול ב CROUP - עדכונים וסכום

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CROUP - . - cochrane reviews :. Nebulized epinephrine HELIOX. ( ). 2010 - 38 n=4299 - PowerPoint PPT Presentation

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CROUP - Nebulized epinephrine HELIOX

- cochrane reviews :2 2010 - 38 n=4299 WESTLEY SCORE 6 (mean diff. -1.2), 12 (mean diff. -1.9), 24 (RR 0.5) 12

( ) - RR=0.67 ICS RR=0.653 8 (225 ) CROUP SCORE 30 ' (32 RCT ) racemic epinephrine Le IPPB

Nebulized epinephrine 3 135 CROUP - 20 60 ' (weighted standardised mean difference of -0.14)

UPTODATE"Exposure to cold night air also may lessen symptoms of mild croupExposure to cold air 2 RCT 22 22 ' HELIOX ( 30% + racaemic epinephrine ) CROUP SCORE ' HELIOXLevel of consciousness: Normal, including sleep = 0; disoriented = 5Cyanosis: None = 0; with agitation = 4; at rest = 5Stridor: None = 0; with agitation = 1; at rest = 2Air entry: Normal = 0; decreased = 1; markedly decreased = 2Retractions: None = 0; mild = 1; moderate = 2; severe = 3The total score ranges from 0 to 17.Mild croup is defined by a Westley croup score of 2. Moderate croup is defined by a Westley croup score of 3 to 7. Severe croup is defined by a Westley croup score of 8Westley croup scoresymptomatically with humidity, fever reduction, and oral fluidsExposure to cold night air P.O (0.6 "/")Tx. Of Mild CroupMod. Croup -> ED or office (intubation) Severe croup -> EDSupportive carehumidified air or humidified O2 if O2 sat. Intubation

Tx of MODERATE TO SEVERE CROUP