If moderate classification. 1 mg given twice at 30-minute intervals is effective in mild to moderate croup and may prevent the need for systemic steroids. However, up to now, it has not been compared to dexamethasone in any trial. Continuation of cool, humidified air may also be helpful. If in severe classification, the decision to intubate should be left to experienced personnel and, when feasible, be performed in the operating room.
Management is as above while awaiting trained personnel for sedation and intubation.
Foreign-Body Aspiration Clinical presentation. Majority 3 months to 6 years. Initial cough, choking, gagging, stridor, wheeze. FB then passes into smaller airways and have silent phase. Then have recurrent pneumonia, wheezing, abscess, bronchiectasis.