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Stridor in the Infant Patient

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CLINICS CARE POINTS

When evaluating a child with stridor, identify duration and severity of the underlying respiratory distress when gathering a history. Physical examination should focus on the quality of the stridor being produced in addition to signs of respiratory distress, such as tracheal tugging or sternal retraction. In the stable patient, the gold standard to evaluating the stridulous child is laryngeal examination with endoscopy. In the unstable patient, evaluation of the airway under anesthesia with direct laryngoscopy and bronchoscopy is preferred before intubation, if possible. Chronic stridor most commonly is secondary to laryngomalacia, in which operative intervention should be performed in patients showing symptoms of failure to thrive.

SUPPLEMENTARY DATA

Supplementary data related to this article can be found online at https://doi.org/10. 1016/j.pcl.2021.12.003.

REFERENCES

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