In Reply.—I want to thank Drs Myer and Holmes for illustrating an important point about critically reading the medical literature. The purpose of my article was, as stated in the introduction, to review the medical, not the surgical, treatment of croup. I chose to define the scope of the article in this way to address treatment concerns for 95% to 99% of children admitted to the hospital with croup.1-3 The medical treatment of croup has not been comprehensively reviewed in the recent literature.
A review of issues surrounding the topics of intubation, tracheotomy, and endoscopic evaluation, while important, has been done recently,4,5 but doesn't come under the stated purpose of my article.
SKOLNIK NS. Management of Croup-Reply. Am J Dis Child. 1990;144(3):267. doi:10.1001/archpedi.1990.02150270013006