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<< Management of Airway Obstruction and Stridor in Pediatric Patients

Disposition

The etiology of the stridor and a child’s response to treatment are the most important determining factors when deciding which children are safe for discharge home from the ED. All children with stridor should be observed following treatment to ensure sustained improvement of symptoms, as there is potential for rapid deterioration after the effects of initial treatment have worn off.

The most common presentation of stridor to the ED is croup, and the majority of children with croup are considered safe for discharge home after appropriate observation if they have sustained resolution of stridor after treatment (with no stridor at rest), no signs of increased work of breathing, no hypoxemia, no need for supplemental oxygen, and the ability to handle secretions and tolerate oral intake. 

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