Mild Stridor

  1. Management

      • Supportive Care – Humidified air, fluids, and fever control.
      • Dexamethasone (0.15–0.6 mg/kg PO/IM) to reduce inflammation.
      • Close Monitoring – If worsening, hospital observation.

       

  2. ++++++++++++++++++++++++++++++

    2. Laryngomalacia (Common in Infants)

    • Usually Self-Limiting – Reassurance and observation.
    • Severe Cases – ENT referral for possible supraglottoplasty.

    3. Allergic Reaction/Angioedema

    • Mild Cases – Antihistamines (e.g., diphenhydramine), corticosteroids.
    • Severe Cases – Epinephrine, airway support, and ICU admission.

    4. Foreign Body Aspiration

    • Mild Symptoms – Urgent ENT or pulmonology evaluation for bronchoscopy.
    • Complete Obstruction – Emergent intervention (Heimlich, intubation).

    5. Subglottic Stenosis / Vocal Cord Dysfunction

    • ENT Referral – For endoscopic evaluation and possible intervention.

    When to Escalate?

    • Stridor at Rest
    • Worsening Work of Breathing
    • Cyanosis or Altered Mental Status
    • Suspected Foreign Body

    Would you like a more specific approach based on a suspected cause?

    • Moderate: Stridor at rest, increased work of breathing
    • Severe: Cyanosis, lethargy, marked retractions, impending respiratory failure
  10. Ensure Airway and Oxygenation
    • Keep the child calm (agitation worsens airway obstruction).
    • Administer humidified oxygen (preferably in a non-threatening way like a blow-by method).
    • Avoid distressing procedures unless necessary (e.g., trying to visualize the throat).

 

References

1. https://www.drugs.com/dosage/dexamethasone.html#Usual_Pediatric_Dose_for_Croup