Croup (Laryngotracheobronchitis)

Children between 6 mo-6 y are at risk (6 mo–3 y at greatest risk).

Children with underlying airway abnormalities (e.g., subglottic stenosis) or difficult intubations (e.g., micrognathia) and symptoms are at increased risk and require particular planning.

Difficulty with intubation because of very narrowed subglottic region

Obstruction of the small tracheal tube because of airway secretions.

Risk of rebound tracheal edema several hours after racemic epinephrine treatment.

Cardiorespiratory crisis in progressive or severe Sx, agitation, younger pts, difficulties with oxygenation or ventilation, failure to oxygenate.

Bacterial superinfection of airway.