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Hmm....experience based practice in the shower at home tells me that expectoration & productive noseblowing is more effective after steam inhalation :) Nikki Adams [log in to unmask] ----- Original Message ----- From: "Randy Trinkle" <[log in to unmask]> To: <[log in to unmask]> Sent: Saturday, November 24, 2001 3:23 AM Subject: Re: mist "therapy" in 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? > > My *opinion* is that it is ritualistic practice. I've looked for evidence > on this in the past and have also found the same small study that > showed no benefit. Our province's pediatric hospital has junked its > "croup tents", and other hospitals I've worked at have rarely if ever > used them. Normally inspired air is pretty well saturated with water > when passing over the nasal/oral mucosa. This assumes that the > child is well-hydrated - which may not be the case. But hydrating > the child would be - again, my opinion - more humane than putting > them in one of these things. The principal lesion is due to > inflammation and edema - so I don't see how mist "therapy" would > be of any benefit. Corticosteroids and epi address the lesion. > Water doesn't. > > > ******************************* > Randy Trinkle, BScPharm BA > Geriatric and ambulatory care > Civic Health Centre > Vancouver, BC > Health Science Links: > http://www.pacificcoast.net/~rtrinkle > mailto:[log in to unmask] > ******************************** > > I finally figured it out. If someone asks me if I'm > having a bad day it doesn't have anything to do with how > I actually feel. It's because they just found out that > they can't have what they want. >