The Effect and Safety of Low Dose Nebulized Epinephrine in Croup

The Effect and Safety of Low Dose Nebulized Epinephrine in the Treatment of Croup

Croup is common illness presenting emergency department with dyspnea. The main treatment for croup is nebulized L-epinephrine and steroid. The study for the dose of nebulized L-epinephrine is restricted that the study of comparision between racemic epinephrine and L-epinephrine.

The investigators conducted this study to compare the effectiveness of low dose L-epinephrine with conventional dose L-epinephrine.

Inclusion Criteria:

• croup children between 6 month and 5 years old
• Westley croup score between 3 and 11

Exclusion Criteria:

• underlying lung or heart disase
• contra indication to dexamethasone
• immune deficient state
• preterm birth
• previous intubation or apnea history