clinical evidence (available to all NHS employees via the National
Electronic Library of Health) describes finding one RCT of 16 patients -
showing 'no significant effect'
it might be useful to see if giving humidified air/oxygen in hospital, but
would a trial of steam in community settings be worthwhile? a period of
relaxation, the feeling of 'doing something' and the joy of folk medicine
may be good enough to justify the continuation of this therapy.
bob
-------------------------------------------
Dr Bob Phillips
Section Editor, Archimedes
Archives of Disease in Childhood
page:07654 628328
> -----Original Message-----
> From: Evidence based health (EBH) is the integration of individual
> knowledge [mailto:[log in to unmask]]On Behalf Of John
> Platt
> Sent: 23 November 2001 09:58
> To: [log in to unmask]
> Subject: croup
>
>
> I was listening to radio four recently and heard a journalist describe his
> surprise ( it seems a little primitive in these high tech days ) at being
> advised by consultant paediatricians of the value of mist therapy in
> childhood croup.
> A brief literature search found the following
> "there is no evidence to support the continuing use of mist therapy in
> inpatient environments." (Macdonald 1997).
> What is current practice and is it based on evidence or is it ritualistic
> continuance of a 19th century practice?
> John Platt
>
> THORAX Volume 52(9) September 1997 pp 757-759
> Management of childhood croup
> Macdonald, William B G; Geelhoed, Gary C
>
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