Clinical Case Database / Category: Case Based Discussion

Stridor in children

Publication details

Turan S Huseyin FRCS FCEM, Brijendra P Shravat FRCSEd FCEM, Kilian A Hynes MRCP FCEM
Foundation Years Journal, volume 2, issue 2, p.92 (123Doc Education, London, February 2008)


An 11-month-old child was brought to the emergency department at 01:00 hrs. His parents were woken by a loud barking noise and found the child crying in his cot. He was pyrexial (37.8°C), had a respiratory rate of 28 per minute and oxygen saturation of 99% on air. There was mild sub-costal recession and some stridor when agitated. How would you manage this patient?

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Turan S Huseyin FRCS FCEM

Consultant in Emergency Medicine and Foundation Programme Training Director
Barnet and Chase Farm Hospitals NHS Trust

Brijendra P Shravat FRCSEd FCEM (Corresponding author)

Consultant and Clinical Director in Emergency Medicine
Barnet and Chase Farm Hospitals Trust
Barnet Hospital
Wellhouse Lane

Kilian A Hynes MRCP FCEM

Consultant in Emergency Medicine
Barnet and Chase Farm Hospitals Trust


1. The Foundation Programme 2007. Section 4 – Syllabus and competences: p. 116.
2. Tan HKK, Holinger LD. How to evaluate and manage stridor in children. J Respir Dis 1994; 15(3): 245–260.
3. Sherrington CA, Crameri JA, Coleman LT et al. Stridor in an infant. Eur Respir J 1999; 14: 717–719.
4. Kristjansson S, Berg-Kelly K, Winso E. Inhalation of racemic adrenaline in the treatment of mild and moderately severe croup. Clinical symptom score and oxygen saturation measurements for evaluation of treatment effects. Acta Paediatr 1994; 83(11): 1156–1160.


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