Document Detail

Clinical practice: an approach to stridor in infants and children.
MedLine Citation:
PMID:  19763619     Owner:  NLM     Status:  MEDLINE    
Stridor is the sound caused by abnormal air passage during breathing. The cause of stridor can be located anywhere in extrathoracic airway (nose, pharynx, larynx, and trachea) or the intrathoracic airway (tracheobronchial tree). Stridor may be acute (caused by inflammation/infection or foreign body inhalation) or chronic. It may be congenital or acquired. Stridor is a sign from which the underlying cause must be sought; it is not a diagnosis. The role of the pediatrician faced with a child or infant with noisy breathing is: (1) to determine the severity or respiratory compromise and the need for immediate intervention (to prevent respiratory failure); (2) to decide based upon history and clinical examination whether a significant lesion is suspected and, in the latter situation, to refer the child to an ENT surgeon for an upper and lower airway endoscopy; (3) to understand the consequences and management strategies of the underlying lesion and to collaborate with colleagues from related disciplines for follow-up and subsequent management of the child.
An Boudewyns; Jozef Claes; Paul Van de Heyning
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of pediatrics     Volume:  169     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2009-12-30     Completed Date:  2010-03-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  135-41     Citation Subset:  IM    
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium.
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MeSH Terms
Bronchoscopy / methods*
Child, Preschool
Diagnosis, Differential
Laryngoscopy / methods*
Otorhinolaryngologic Diseases / complications*,  diagnosis
Respiratory Sounds* / diagnosis,  etiology,  physiopathology
Respiratory Tract Diseases / complications*,  diagnosis

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