Stridor is an abnormal, high-pitched sound produced by turbulent airflow through a partially obstructed airway.
Stridor is a dangerous finding and may indicate imminent airway obstruction.
It can be inspiratory, expiratory or biphasic.
Clinical presentation of stridor
- Respiratory distress
- Altered mental status
- Inability to speak
- Inability to swallow
- Infectious causes
- Croup, epiglottitis, peri-tonsillar abcess, retropharyngeal abcess
- Non- infectious causes
- Foreign body obstruction, burns, trauma, malignancy, laryngotracheomalacia, stenosis, anaphylaxis
- Blood gases analysis,
- Lateral neck X ray (for foreign body, masses or soft tissue swelling),
- CXR (foreign body, evidence of aspiration),
- CT- scan,
- Blood Sugar,
- Electrolyte analysis and/or
- Serum creatinine and urea
Treatment for stridor
Non Pharmacological Treatment
- Keep the patient calm by allowing the patient to assume their most comfortable position.
- Give oxygen if there are signs of increased work of breathing.
A: Adrenaline (nebulization) 0.5mls/kg
A: prednisolone (PO) 1-2mg/kg stat
D: dexamethasone (PO) 0.6mg/kg stat
Administer IV fluids (if signs of shock)
All patients with stridor whom the cause has not yet been established must be referred to higher health facilities.