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- Re: ? error epi doseShow More
To Dr. Whitson: Thank you for bringing the 1-isomer epinephrine dose printed in the "Viral Croup" article to our attention. It is, as you correctly pointed out, a 5mL mixture of 1-isomer epinephrine and saline of the dilution 1:1000 and not the 1:100 dilution as printed, which has been used in the original study by Waisman (Pediatrics. 1992;89:302-306). I will add that another article, by Rosekrans (Mayo Coin Proc.1998...
Competing Interests: None declared. - Re: viral croupShow More
To Dr. Feigelman: Comment 1: When comparing laryngotracheitis with epiglottis, the article states that in children who have acute laryngotracheitis, the epiglottis appears normal as opposed to that of the children who have epiglottitis. The definitive anatomic diagnosis of epiglottitis is made by visualization, however, and case management in this regard should be individualized. We agree with you and do not suggest...
Competing Interests: None declared. - viral croupShow More
I have concerns about the article on croup in the January print issue: 1) The article suggests visualizing the epiglottis to make the correct diagnosis. That is never done as a diagnostic procedure. 2) The example of the lateral airway film is poor. 3) The article mentions the PA neck film, when in fact the AP is the x-ray of choice. 4) The article never mentions the necessity of bringing the child to the OR for seda...
Competing Interests: None declared.