Acute bronchiolitis in infants, a review
Acute viral bronchiolitis is one of the most common medical emergency situations in infancy, and physicians caring for acutely ill children will regularly be faced with this condition. In this article we present a summary of the epidemiology, pathophysiology and diagnosis, and focus on guidelines fo...
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| Format: | Online |
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BioMed Central
2014
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230018/ |
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pubmed-4230018 |
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pubmed-42300182014-11-14 Acute bronchiolitis in infants, a review Øymar, Knut Skjerven, Håvard Ove Mikalsen, Ingvild Bruun Review Acute viral bronchiolitis is one of the most common medical emergency situations in infancy, and physicians caring for acutely ill children will regularly be faced with this condition. In this article we present a summary of the epidemiology, pathophysiology and diagnosis, and focus on guidelines for the treatment of bronchiolitis in infants. The cornerstones of the management of viral bronchiolitis are the administration of oxygen and appropriate fluid therapy, and overall a “minimal handling approach” is recommended. Inhaled adrenaline is commonly used in some countries, but the evidences are sparse. Recently, inhalation with hypertonic saline has been suggested as an optional treatment. When medical treatment fails to stabilize the infants, non-invasive and invasive ventilation may be necessary to prevent and support respiratory failure. It is important that relevant treatment algorithms exist, applicable to all levels of the treatment chain and reflecting local considerations and circumstances. BioMed Central 2014-04-03 /pmc/articles/PMC4230018/ /pubmed/24694087 http://dx.doi.org/10.1186/1757-7241-22-23 Text en Copyright © 2014 Øymar et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Øymar, Knut Skjerven, Håvard Ove Mikalsen, Ingvild Bruun |
| spellingShingle |
Øymar, Knut Skjerven, Håvard Ove Mikalsen, Ingvild Bruun Acute bronchiolitis in infants, a review |
| author_facet |
Øymar, Knut Skjerven, Håvard Ove Mikalsen, Ingvild Bruun |
| author_sort |
Øymar, Knut |
| title |
Acute bronchiolitis in infants, a review |
| title_short |
Acute bronchiolitis in infants, a review |
| title_full |
Acute bronchiolitis in infants, a review |
| title_fullStr |
Acute bronchiolitis in infants, a review |
| title_full_unstemmed |
Acute bronchiolitis in infants, a review |
| title_sort |
acute bronchiolitis in infants, a review |
| description |
Acute viral bronchiolitis is one of the most common medical emergency situations in infancy, and physicians caring for acutely ill children will regularly be faced with this condition. In this article we present a summary of the epidemiology, pathophysiology and diagnosis, and focus on guidelines for the treatment of bronchiolitis in infants. The cornerstones of the management of viral bronchiolitis are the administration of oxygen and appropriate fluid therapy, and overall a “minimal handling approach” is recommended. Inhaled adrenaline is commonly used in some countries, but the evidences are sparse. Recently, inhalation with hypertonic saline has been suggested as an optional treatment. When medical treatment fails to stabilize the infants, non-invasive and invasive ventilation may be necessary to prevent and support respiratory failure. It is important that relevant treatment algorithms exist, applicable to all levels of the treatment chain and reflecting local considerations and circumstances. |
| publisher |
BioMed Central |
| publishDate |
2014 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230018/ |
| _version_ |
1613155907009511424 |