Is nasal suctioning warranted before measuring O<sub>2</sub> saturation in infants with bronchiolitis?

Moschino, Laura; Mario, Federica; Carraro, Silvia; Visentin, Federica; Zanconato, Stefania; Baraldi, Eugenio

doi:10.1136/archdischild-2015-309587

Cited by 14 publications

(9 citation statements)

References 3 publications

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“…The insufficient available evidence includes a retrospective cohort study of 740 infants 108 and a small observational study of 40 infants. 109 These studies suggest that deep suctioning might increase length of stay for inpatients, 108 infrequent suctioning is associated with an increased length of stay, 108 and oxygen saturation might increase after suctioning. 109 To draw conclusions about causality from these observational studies is difficult, because the potential for confouding by indication exists (eg, sicker children might be more likely to receive deep suctioning).…”

Section: Managementmentioning

confidence: 96%

Viral bronchiolitis

2017

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Viral bronchiolitis is a common clinical syndrome affecting infants and young children. Concern about its associated morbidity and cost has led to a large body of research that has been summarised in systematic reviews and integrated into clinical practice guidelines in several countries. The evidence and guideline recommendations consistently support a clinical diagnosis with the limited role for diagnostic testing for children presenting with the typical clinical syndrome of viral upper respiratory infection progressing to the lower respiratory tract. Management is largely supportive, focusing on maintaining oxygenation and hydration of the patient. Evidence suggests no benefit from bronchodilator or corticosteroid use in infants with a first episode of bronchiolitis. Evidence for other treatments such as hypertonic saline is evolving but not clearly defined yet. For infants with severe disease, the insufficient available data suggest a role for high-flow nasal cannula and continuous positive airway pressure use in a monitored setting to prevent respiratory failure.

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Section: Managementmentioning

confidence: 96%

Viral bronchiolitis

2017

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“…RSV-contaminated respiratory secretions are commonly transmitted by direct contact and therefore, the rates of transmission may be greatly enhanced in crowded environments. [ 43 ]…”

Section: Transmission Of Respiratory Syncytial Virusmentioning

confidence: 99%

Bronchiolitis in children: The Saudi initiative of bronchiolitis diagnosis, management, and prevention (SIBRO)

et al. 2018

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Bronchiolitis is the leading cause of admissions in children less than two years of age. It has been recognized as highly debated for many decades. Despite the abundance of literature and the well-recognized importance of palivizumab in the high risk groups, and despite the existence of numerous, high-quality, recent guidelines on bronchiolitis, the number of admissions continues to increase. Only supportive therapy and few therapeutic interventions are evidence based and proved to be effective. Since Respiratory Syncytial Virus (RSV) is the major cause of bronchiolitis, we will focus on this virus mostly in high risk groups like the premature babies and children with chronic lung disease and cardiac abnormalities. Further, the prevention of RSV with palivizumab in the high risk groups is effective and well known since 1998; we will discuss the updated criteria for allocating infants to this treatment, as this medication is expensive and should be utilized in the best condition. Usually, diagnosis of bronchiolitis is not challenging, however there has been historically no universally accepted and validated scoring system to assess the severity of the condition. Severe RSV, especially in high risk children, is unique because it can cause serious respiratory sequelae. Currently there is no effective curative treatment for bronchiolitis. The utility of different therapeutic interventions is worth a discussion.

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“…44 However, deep suctioning and frequent suctioning might increase length of stay of inpatients 72 and oxygen saturation might increase after suctioning. 73 Hydration: Infants with bronchiolitis might have difficulty feeding because of nasal congestion and increased work of breathing: thus hydration remains a corner stone of therapy. Most guidelines recommend either nasogastric or intravenous fluids (isotonic fluids) to maintain hydration.…”

Section: Supportive Therapiesmentioning

confidence: 99%

Bronchiolitis: State-of-the-art

Kabir

2021

Bangladesh J Child Health

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The commonest cause of respiratory distress in young children is bronchiolitis. Bronchiolitis is an acute viral lower respiratory tract infection which predominantly affects children up to two years of age. It is a seasonal disease, dominating winter months, with a peak over 6 to 8 weeks around the winter solstice. The evidence and guideline recommendations consistently support a clinical diagnosis with the limited role for diagnostic testing for children who present with the typical clinical features of viral upper respiratory infection progressing to the lower respiratory tract. Management is largely supportive, focusing on maintaining oxygenation and hydration. Evidence suggest no benefit from bronchodilator or corticosteroid use in infants with first episode of bronchiolitis. Evidence for other treatment such as hypertonic saline is evolving. In case of severe bronchiolitis, there is some role for high-flow nasal cannula and continuous positive airway pressure use. Bangladesh J Child Health 2020; VOL 44 (3) :161-169

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Is nasal suctioning warranted before measuring O₂ saturation in infants with bronchiolitis?

Cited by 14 publications

References 3 publications

Viral bronchiolitis

Viral bronchiolitis

Bronchiolitis in children: The Saudi initiative of bronchiolitis diagnosis, management, and prevention (SIBRO)

Bronchiolitis: State-of-the-art

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Is nasal suctioning warranted before measuring O2 saturation in infants with bronchiolitis?

Cited by 14 publications

References 3 publications

Viral bronchiolitis

Viral bronchiolitis

Bronchiolitis in children: The Saudi initiative of bronchiolitis diagnosis, management, and prevention (SIBRO)

Bronchiolitis: State-of-the-art

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Is nasal suctioning warranted before measuring O₂ saturation in infants with bronchiolitis?