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March 1976, Vol 130, No. 3 >
Article | March 1976

Treatment of Croup FREE

PAUL S. BERGESON, MD
Am J Dis Child. 1976;130(3):336. doi:10.1001/archpedi.1976.02120040114026.
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Sir.—It has now been five years since the Utah group began publishing its data regarding intermittent positive-pressure breathing (IPPB) and racemic epinephrine for the treatment of laryngotracheobronchitis1,2 and six years since they showed "before and after" films at the American Academy of Pediatrics meetings in Chicago documenting their spectacular results. Yet, the pediatric community still does not comprehend the use of this relatively simple procedure, as evidenced by the recent article by Taussig et al in the Journal (129:790-793, 1975).

The authors state that in their controlled study the natural history of the disease is not drastically altered by this treatment, but they have deviated significantly from the original well-defined technique. Adair's group uses a higher pressure (15 to 20 cm of water), respirator sensitivity setting at near maximal, and a longer treatment period (15 minutes or more); a prolonged inspiratory time is not used until a child

REFERENCES

1 +
Jordan WS, Graves CL, Elwyn RA:  New therapy for postintubation laryngeal edema and tracheitis in children . JAMA 212:585-588, 1970;.
2 +
Adair JC, Ring WH, Jordan WS, et al:  Ten-year experience with IPPB in the treatment of acute laryngotracheobronchitis . Anesth Analg 50:649-655, 1971;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Jordan WS, Graves CL, Elwyn RA:  New therapy for postintubation laryngeal edema and tracheitis in children . JAMA 212:585-588, 1970;.
2 +
Adair JC, Ring WH, Jordan WS, et al:  Ten-year experience with IPPB in the treatment of acute laryngotracheobronchitis . Anesth Analg 50:649-655, 1971;.

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