Continuous positive airway pressure in bronchiolitis.

Beasley, J.M.; Jones, Susan

doi:10.1136/bmj.283.6305.1506

Cited by 101 publications

(63 citation statements)

References 10 publications

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“…NIV support of infants with bronchiolitis was first described by Beasley and Jones [10] and later developed by Soong et al [11]. Twenty three children with bronchiolitis had improved respiratory rates and carbon dioxide clearance after NIV support; all avoided invasive ventilation.…”

Section: Introductionmentioning

confidence: 99%

Increase in use of non-invasive ventilation for infants with severe bronchiolitis is associated with decline in intubation rates over a decade

et al. 2012

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Section: Introductionmentioning

confidence: 99%

Increase in use of non-invasive ventilation for infants with severe bronchiolitis is associated with decline in intubation rates over a decade

et al. 2012

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“…The main aetiology of acute respiratory distress failure in patient of less than 1 year old is lower respiratory tract infections, mainly due to acute viral bronchiolitis. Beasley et al described for the fi rst time the use of CPAP in the management of 24 patients with severe bronchiolitis with a signifi cant improvement in respiratory rate and gas exchange (Beasley and Jones 1981 ). During the 1990s, similar benefi ts were demonstrated by Soong et al in further ten infants with severe bronchiolitis treated by nasal CPAP (nCPAP) (Soong et al 1993 ).…”

Section: Indicationsmentioning

confidence: 87%

“…CPAP support requires four components: a ventilator or fl ow generator, a circuit, a humidifi er and an interface. Theoretically, a simple fl ow generator with an external PEEP can be used to implement CPAP (Beasley and Jones 1981 ;Soong et al 1993 ). Currently, many devices are commercially available, ranging from the simple jet CPAP to polyvalent ventilators used in intensive care unit.…”

Section: Initiating Cpapmentioning

confidence: 99%

Noninvasive Respiratory Support in the Paediatric Patient

Essouri

Martinón-Torres

2014

Pediatric and Neonatal Mechanical Ventilation

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“…A população estudada foi constituída de uma amostra (selecionada por conveniência) de pacientes com diagnóstico clínico de BVA, hospitalizados em unidades pediátricas (sala de observação da emergência, área de internação e unidade de tratamento intensivo) do Hospital de Clínicas de Porto Alegre (os autores não interferiram na indicação da hospitalização), no período de abril de 1998 a setembro de 2000, com base em critérios de inclusão exclusivamente clíni-cos 6,7 : sibilância expiratória de início súbito, como primeiro episódio, em pacientes de 1 a 12 meses de idade, com sinais de doença respiratória viral, tais como coriza, tosse irritativa, hipertermia e indícios de disfunção respiratória (taquipnéia, tiragem, batimentos de asa de nariz, esforço expiratório e cianose).…”

Section: Pacientes E Métodosunclassified

Pulmonary blood flow distribution in acute viral bronchiolitis

Carvalho¹,

Cunha²,

Barreto³

2002

J Pediatr (Rio J)

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Objective: to assess lung perfusion patterns in inpatients with acute viral bronchiolitis using quantitative 99m Tc-MAA scintigraphy so as to establish an association with clinical and radiological findings.Methods: a comparative, prospective case series study with a focus on diagnosis was carried out in a population of patients with acute viral bronchiolitis admitted to Hospital de Clínicas de Porto Alegre. Inclusion criteria were age between 01 and 24 months and first sudden-onset wheezing episode, suggesting bronchiolitis. The patients in the study were submitted to clinical, radiological and 99m Tc-MAA lung perfusion evaluation during the first 24 hours of admission. Statistical analysis employed t test, taking into consideration a significance level of 0.05.Results: the regional distribution of lung blood flow in the 38 patients studied was more pronounced in the upper section of the left lung in relation to the right lung (P<0.001). The distribution gradients of blood flow between the upper and middle and upper and lower sections were higher in the left lung (P<0.001). The distribution gradients of blood flow between the middle and lower sections were higher in the right lung, but without significance. The distribution gradient of the pulmonary flow in the anteroposterior axis was >1.0 in the upper and middle sections of both lungs. In the lower section it was >1.0 only in the right lung (P<0.007). There was no association between lung blood flow distribution patterns and clinical or radiological findings.Conclusion: there was no evidence of an association between lung blood flow distribution and ventilation-perfusion ratio in hospitalized infants with acute viral bronchiolitis; only a tendency to redirect lung blood flow towards upper lung sections was observed.J Pediatr (Rio J) 2002; 78 (2): 133-9: regional blood flow, pulmonary circulation, perfusion, radionuclide imaging, macroaggregated albumin with technetium Tc 99m, bronchiolitis. ResumoObjetivo: avaliar a distribuição da perfusão pulmonar em pacientes hospitalizados com bronquiolite aguda, por meio de cintilografia pulmonar perfusional quantitativa com 99m Tc-MAA, estabelecendo associação com avaliações clínica e radiológica concomitantes.Pacientes e métodos: foi realizado um estudo de série de casos, prospectivo, comparativo, com enfoque diagnóstico, em amostra por conveniência de pacientes hospitalizados com bronquiolite aguda, baseada em critérios clínicos, idade entre 1 e 12 meses, como primeiro episódio de sibilância expiratória de início súbito, sugestivo de bronquiolite. Foram realizadas avaliações clínica, radiológica e da perfusão pulmonar nas primeiras 24 horas da admissão. Foi utilizado o teste t de Student, com o nível de significância de 0,05, na análise estatística.Resultados: nos 38 pacientes estudados, a distribuição do fluxo sangüíneo pulmonar regional foi maior na região superior do pulmão esquerdo em relação ao direito (p<0,001). Os gradientes de distribuição do fluxo pulmonar entre as regiões superior e média e superior ...

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Continuous positive airway pressure in bronchiolitis.

Abstract: Abstract

Cited by 101 publications

References 10 publications

Increase in use of non-invasive ventilation for infants with severe bronchiolitis is associated with decline in intubation rates over a decade

Increase in use of non-invasive ventilation for infants with severe bronchiolitis is associated with decline in intubation rates over a decade

Noninvasive Respiratory Support in the Paediatric Patient

Pulmonary blood flow distribution in acute viral bronchiolitis

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