What is the best treatment for bronchiolitis?

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What is the best treatment for bronchiolitis?

Please use this identifier to cite or link to this item: http://hdl.handle.net/10355/2964

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dc.contributor.author Purdon, Michael
dc.contributor.author Dodson, Sherry
dc.date.accessioned 2009-10-13T18:31:28Z
dc.date.available 2009-10-13T18:31:28Z
dc.date.issued 2003-01 en
dc.identifier.uri http://hdl.handle.net/10355/2964
dc.description.abstract Nebulized epinephrine decreases oxygen requirements, respiratory rate, wheezing, and retractions and may lower hospitalization rates and length of stay (Grade of Recommendation: A, based on consistent randomized controlled trials [RCTs] and systematic reviews). At best, other beta-2 agonists provide modest short-term improvement in mild to moderate bronchiolitis (Grade of Recommendation: A, consistent RCTs and systematic reviews), and may be indicated in patients with preexisting asthma. Discontinue bronchodilators if patients do not respond quickly, because the bronchodilators may cause respiratory deterioration (Grade of Recommendation: D, expert opinion). Supplemental oxygen for low oxygen saturation and suctioning may improve respiratory status (Grade of Recommendation: D, expert opinion). Chest physiotherapy (Grade of Recommendation: D, expert opinion), cool mist (Grade of Recommendation: D, expert opinion), and aerosolized saline (Grade of Recommendation: A, based on RCTs) are not recommended. Steroids, routine antibiotics, ribavirin, and pooled immunoglobulins play no role in previously healthy children (Grade of Recommendation: A, systematic review, RCT and meta-analysis). See the Table for a summary of therapeutic interventions for bronchiolitis. en
dc.language.iso en_US en
dc.publisher Family Physicians Inquiries Network en
dc.relation.ispartof Clinical Inquiries, 2003 (MU) en
dc.subject respiratory deterioration en
dc.subject beta-2 agonists en
dc.subject epinephrine en
dc.subject.lcsh Respiratory organs -- Diseases en
dc.subject.lcsh Bronchitis -- Patients -- Rehabilitation en
dc.subject.lcsh Lungs -- Diseases, Obstructive en
dc.title What is the best treatment for bronchiolitis? en
dc.type Article en
dc.relation.ispartofcommunity University of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network


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