Croup future or investigational therapies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Heliox - a combination of helium and oxygen - is currently being studied for efficacy in treating croup. It works by reducing upper airway resistance to gas flow, relieving respiratory distress. There is early evidence that it is as effective as racemic epinephrine in treating moderate and severe croup. Further randomized trials and investigational studies are being pursued.

Future or Investigational Therapies

Heliox

  • Helium and oxygen combined into "heliox" breathing gas can be used to alleviate croup symptoms by reducing upper airway obstruction.[1]
  • There is evidence that suggests heliox can be as effective as racemic epinephrine in relieving moderate to severe croup symptoms.[2].
  • Studies have not yet consistently determined if heliox is effective in treating all forms of croup and further investigational randomized trials are being pursued.[1]

References

  1. 1.0 1.1 Moraa, Irene; Sturman, Nancy; McGuire, Treasure; van Driel, Mieke L; Moraa, Irene (2013). "Heliox for croup in children". doi:10.1002/14651858.CD006822.pub4.
  2. Weber, J. E.; Chudnofsky, C. R.; Younger, J. G.; Larkin, G. L.; Boczar, M.; Wilkerson, M. D.; Zuriekat, G. Y.; Nolan, B.; Eicke, D. M. (2001). "A Randomized Comparison of Helium-Oxygen Mixture (Heliox) and Racemic Epinephrine for the Treatment of Moderate to Severe Croup". PEDIATRICS. 107 (6): e96–e96. doi:10.1542/peds.107.6.e96. ISSN 0031-4005.