Noisy Breathing and Stridor


Stridor

Definition:

Pathophysiology

History

Physical Examination

Diagnostic testing

Treatment

  1. Treatment of stridor should be directed at underlying cause of disease
  2. Severe airway obstruction or respiratory compromise
  3. Epiglotitis, now rare, is an emergent situation, as airway obstruction can progress rapidly
  4. Stridor caused by viral Croup without respiratory distress
  5. Laryngomalacia usually resolves by 18 months

Disposition

Instructions for Follow-Up

 

Overview
Noisy Breathing/
Stridor
Croup Congenital Anomaly Airway Hematoma
Atresia
Cysts
Cleft
Stenosis
Webs
Infection
Laryngomalacia
URI Usually viral
Apnea & Periodic Breathing Periodic Breathing May be normal
Apnea
(ADMIT)
-Cessation of breathing > 10-20 sec. Bronchiolitis (RSV)
Chlamydia
Pretussis
Cyanosis & Blue Spells Cyanosis
(ADMIT)
Rapid, unlabored respiration Cyanotic Heart Disease (R to L shunt)
Irregular, Shallow Respiration Sepsis
CNS Disease
Metabolic Disorder
Labored breathing w/grunting & retraction Pulmonary Disease Pneumonia
Bronchiolitis