Pseudokrupp seizure

introduction

The basis of a pseudo-croup attack is first the laryngitis. Due to the inflammation, the mucous membrane is swollen, which now narrows the diameter of the glottis and obstructs the air flow.

Hoarseness in the children is common the day before.
Typically, a pseudo-group seizure occurs at night between 0 and 4 o'clock because the cortisol level in the body is lowest at this time.
The inflammation can then come to its full expression and the swelling increases.

symptoms

The children present themselves with a sudden, dry, barking cough and whistling noises when inhaling to wheezing.
Due to the unfamiliar breathing, the child gets scared.
Breathing becomes faster and more hectic due to the excitement, resulting in a cycle of increasing panic and inefficient breathing, which must be interrupted by the parents if possible (see below).

As a rule, there is no danger to life.

However, if the seizure persists and the swelling has progressed strongly, an emergency call should be discontinued immediately.
Signs such as pale gray skin, blue lips and / or fingernails, a fast pulse and heavy breathing attempts are reasons immediately to an ambulance
(Tel .: 112) to call.
Even after a lighter attack should be talked to a doctor / emergency doctor to clarify the further procedure.

Initial measures

During a typical attack, the child should be picked up and calmed down by talking.
Cool air causes the mucous membranes to swell.
The child should still have a blanket or similar at the open window. be thrown around to avoid further efforts by shaking.
If self-drinking is possible, still water can provide relief in small sips.
As a rule, a pseudo-squall attack is self-limiting after a few minutes.
However, if the child seems increasingly exhausted, a doctor should be consulted immediately (see above).
In any case, the administration of glucocorticoids is recommended and should be discussed with the attending physician or an emergency physician.

prevention

In any case, avoid air pollutants near the sick child such as cigarette smoke.
These irritate the mucous membrane of the larynx even more and can provoke a seizure.
In the case of laryngitis, attention should be paid to regular ventilation of the dormitory and to the avoidance of dry heating air.
For example, the air can be humidified by a small bowl of water on the heater.
If fever is present, it should be treated with antipyretic drugs such as paracetamol.
In addition, the inflammatory response is somewhat suppressed and thus the laryngeal mucosal swelling does not reach the full extent.
As with all illnesses, care must be taken to ensure adequate hydration to keep the mucous membranes moist, among other things.
Certain emergency medications should be available in the medicine cabinet, after consultation with the attending physician.First measures:
During a typical attack, the child should be picked up and calmed down by talking.

Cool air causes the mucous membranes to swell.
The child should still have a blanket or similar at the open window. be thrown around to avoid further efforts by shaking.
If self-drinking is possible, still water can provide relief in small sips.

As a rule, a pseudo-squall attack is self-limiting after a few minutes.
However, if the child seems increasingly exhausted, a doctor should be consulted immediately (see above). In any case, the administration of glucocorticoids is recommended and should be discussed with the attending physician or an emergency physician.


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