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croup tents

In California, where I practiced until 9/95, croup/mist tents were not used
for the past 10 years for bronchiolitis, and not even for croup, based on
evidence of non-effectiveness and mist possibly irritating the lungs. Oxygen
given with nasal prong or mask when indicated.

When I moved to PA, the peds here are still using mist tents for both croup &
bronchiolitis. I got very strange looks from RNs when I did not order a mist
tent for babies admitted to hospital with bronchiolitis or croup.

Does anyone on Pedtalk have any references on this? How are you treating
bronchiolitis in your institution?

Reply to list or email me privately: hidden@email-address

Thanks!

Linda L. Shaw MD, Altoona PA

croup tents

At Jefferson in Phila PA we don't usually use croup tents, but sometimes
will do so simply for the comfort of a baby who will not stop coughing.
We are usually a lot of steroids, oxygen (mainly prongs) and racemic epi
nebs for croup, and oxygen and up to continuous nebs of albuterol for
bronchiolitis (although nothing much works for bronchiolitis). If we use
a croup tent twice per year it is unusual

G> Emmett

croup tents

What do you all do with a baby or toddler that needs oxygen but will not
leave the prongs in his nose or mask on his face? ...Or are only East
Texan little cowboys this stubborn?? :)
Kim Burlingham
----------
> From: GARY EMMETT/
> To: hidden@email-address
> Cc: hidden@email-address
> Subject: Re: croup tents
> Date: Tuesday, February 18, 1997 12:16 PM
>
> At Jefferson in Phila PA we don't usually use croup tents, but sometimes
> will do so simply for the comfort of a baby who will not stop coughing.
> We are usually a lot of steroids, oxygen (mainly prongs) and racemic epi
> nebs for croup, and oxygen and up to continuous nebs of albuterol for
> bronchiolitis (although nothing much works for bronchiolitis). If we use

> a croup tent twice per year it is unusual
>
> G> Emmett
>

> This message is from PEDTALK - a Pediatric Focused email discussion
group.

croup tents

Dog wrote:
>
> What do you all do with a baby or toddler that needs oxygen but will not
> leave the prongs in his nose or mask on his face? ...Or are only East
> Texan little cowboys this stubborn?? :)
> Kim Burlingham
> ----------
> > From: GARY EMMETT/
> > To: hidden@email-address
> > Cc: hidden@email-address
> > Subject: Re: croup tents
> > Date: Tuesday, February 18, 1997 12:16 PM
> >
> > At Jefferson in Phila PA we don't usually use croup tents, but sometimes
> > will do so simply for the comfort of a baby who will not stop coughing.
> > We are usually a lot of steroids, oxygen (mainly prongs) and racemic epi
> > nebs for croup, and oxygen and up to continuous nebs of albuterol for
> > bronchiolitis (although nothing much works for bronchiolitis). If we use
>
> > a croup tent twice per year it is unusual
> >
> > G> Emmett
> >
> > -----------------------------------------------------------------------
> > This message is from PEDTALK - a Pediatric Focused email discussion
> group.
> > List address: "hidden@email-address"
> > Admin questions: "hidden@email-address" or "http://www.pcc.com/lists/"
> > To unsubscribe: mail "hidden@email-address" with with "unsubscribe"
> > in the body of the message.
>

I'd recommend that the infant be restrained in the most adequate way.

Dr. Arturo Meneses