Introduction
The basis of a pseudocrupp attack is first of all laryngitis. The inflammation causes the mucosa to swell, which now narrows the diameter of the glottis and hinders the flow of air. The day before, hoarseness is often heard in children. Typically, a pseudo croup attack occurs at night between 0 and 4 o’clock in the morning because the cortisol level in the body is lowest at this time. The inflammation can then take on its full manifestation and the swelling increases.
Symptoms
The children present themselves with sudden dry, barking coughs and whistling noises when inhaling up to shortness of breath. Due to the unaccustomed breathing, the child gets scared. Breathing becomes faster and more hectic due to the excitement, resulting in a circulation 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 is persistent and the swelling has progressed considerably, an emergency call must be made immediately. Signs such as a pale gray skin, blue lips and/or fingernails, a fast pulse and violent breathing attempts are reasons to call an emergency doctor (Tel. : 112) immediately. Even after a mild seizure a doctor-emergency doctor should be consulted to clarify the further procedure.
Initial measures
During a typical seizure, the child should be taken in the arms and calmed down by talking. Cool air causes the mucous membranes to swell. Nevertheless, a blanket or similar should be put around the child at the open window to avoid further exertion through trembling.
If independent drinking is possible, still water can provide relief in small sips. As a rule, a pseudo-cup attack is self-limiting after a few minutes. However, if the child appears 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 treating doctor or an emergency physician.
