Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: Dr Gabor argues that because our study shows that humidity is ineffective in patients with mild croup, patients could be discharged after the administration of aerosolized epinephrine and steroids without the burden of a 2- or 3-hour observation period. Even if administration of aerosolized epinephrine to patients in this category is safe from the point of view of a rebound after this form of therapy, it would be inaccurate to draw this conclusion from our study, which in no way tested this hypothesis.
Scolnik D, Coates AL, Stephens D, Da Silva Z, Lavine E, Schuh S. High Humidity, Low Humidity, and Mist Therapy for Croup—Reply. JAMA. 2006;296(4):393-394. doi:10.1001/jama.296.4.394-a