Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- aumento de síntomas con la agitación
- tos característica similar al ladrido de un perro
- de 6 meses a 6 años de edad
Otros factores de diagnóstico
- sexo masculino
- temporada alta, fines de otoño
- síntomas prodrómicos
- aparición repentina de síntomas
- peores síntomas durante la noche
- voz ronca
- dificultad respiratoria (estridor, tiraje intercostal/esternal)
- agitación persistente
- letargo
- movimiento asincrónico de la pared torácica y abdominal
- fatiga
- signos de hipoxia (palidez o cianosis)
- signos de hipercapnia (disminución del nivel de conciencia secundario al aumento de PaCO₂)
Pruebas diagnósticas
Pruebas diagnósticas que deben considerarse
- radiografía anteroposterior y lateral de cuello
Algoritmo de tratamiento
Colaboradores
Autores
Candice Bjornson, MSc, MD, FRCPC
Associate Professor
University of Calgary
Calgary
Canada
Divulgaciones
CB declares that she has no competing interests. CB is the author of several references in this topic.
David Johnson, MD
Professor
Department of Pediatrics and Physiology and Pharmacology
University of Calgary
Calgary
Canada
Divulgaciones
DJ declares that he has no competing interests. DJ is the author of several references in this topic.
Revisores por pares
Ken Farion, MD
Assistant Professor
Pediatrics and Emergency Medicine
University of Ottawa
Ottawa
Canada
Divulgaciones
KF declares that he has no competing interests.
Doreen Matsui, MD, FRCPC
Associate Professor
Departments of Paediatrics and Medicine
Children's Hospital of Western Ontario
London
Ontario
Canada
Divulgaciones
DM declares that she has no competing interests.
Jeremy Hull, MBBS
Consultant Paediatrician
Children's Hospital and West Wing
John Radcliffe Hospital
Oxford
UK
Divulgaciones
JH declares that he has no competing interests.
Steve Cunningham, MBBS, PhD
Consultant Respiratory Paediatrician
Department of Respiratory & Sleep Medicine
Royal Hospital for Sick Children
Edinburgh
UK
Divulgaciones
SC declares that he has no competing interests.
Donna J. Lee, MD
Pediatric Pulmonology
Joseph M. Sanzari Children's Hospital,
Hackensack Meridian Health
Hackensack
NJ
Divulgaciones
DL declares that he has no competing interests.
Deepak Mehta, MD, FRCS ( Oto)
Professor of Otolaryngology
Director Pediatric Aerodigestive Center,
Baylor College of Medicine,
Texas Children’s Hospital,
Houston
TX
Divulgaciones
DM declares that he has no competing interests.
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