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Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis
To evaluate the management of bronchiolitis in the paediatric intensive care unit (PICU) before and after publication of the national bronchiolitis guidelines in June 2015. All infants treated between 2016–2020 for bronchiolitis in the PICU of Tampere University Hospital at < 12 months of age wer...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257585/ https://www.ncbi.nlm.nih.gov/pubmed/36988679 http://dx.doi.org/10.1007/s00431-023-04940-2 |
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author | Selin, Sofia Mecklin, Minna Korppi, Matti Heikkilä, Paula |
author_facet | Selin, Sofia Mecklin, Minna Korppi, Matti Heikkilä, Paula |
author_sort | Selin, Sofia |
collection | PubMed |
description | To evaluate the management of bronchiolitis in the paediatric intensive care unit (PICU) before and after publication of the national bronchiolitis guidelines in June 2015. All infants treated between 2016–2020 for bronchiolitis in the PICU of Tampere University Hospital at < 12 months of age were included. The data were retrospectively collected from electronic patient records. The current results reflecting the post-guideline era were compared with previously published results for the pre-guideline 2000–2015 period. These two studies used identical protocols. Forty-six infants treated in the PICU were included. During the post-guideline era, inhaled adrenaline was given to 26 (57%), salbutamol to 7 (15%), and hypertonic saline inhalations to 35 (75%) patients. Forty-three patients (94%) received high-flow oxygen therapy (HFOT). Seventeen patients (37%) were treated with nasal continuous positive airway pressure (CPAP) and 4 (9%) with mechanical ventilation. Conclusion: When post-guideline years were compared with pre-guideline years, the use of bronchodilators decreased in agreement, but the use of inhaled saline increased in disagreement with the guidelines. The use of respiratory support increased, evidently because of an introduction of the non-invasive HFOT treatment modality. |
format | Online Article Text |
id | pubmed-10257585 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-102575852023-06-12 Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis Selin, Sofia Mecklin, Minna Korppi, Matti Heikkilä, Paula Eur J Pediatr Research To evaluate the management of bronchiolitis in the paediatric intensive care unit (PICU) before and after publication of the national bronchiolitis guidelines in June 2015. All infants treated between 2016–2020 for bronchiolitis in the PICU of Tampere University Hospital at < 12 months of age were included. The data were retrospectively collected from electronic patient records. The current results reflecting the post-guideline era were compared with previously published results for the pre-guideline 2000–2015 period. These two studies used identical protocols. Forty-six infants treated in the PICU were included. During the post-guideline era, inhaled adrenaline was given to 26 (57%), salbutamol to 7 (15%), and hypertonic saline inhalations to 35 (75%) patients. Forty-three patients (94%) received high-flow oxygen therapy (HFOT). Seventeen patients (37%) were treated with nasal continuous positive airway pressure (CPAP) and 4 (9%) with mechanical ventilation. Conclusion: When post-guideline years were compared with pre-guideline years, the use of bronchodilators decreased in agreement, but the use of inhaled saline increased in disagreement with the guidelines. The use of respiratory support increased, evidently because of an introduction of the non-invasive HFOT treatment modality. Springer Berlin Heidelberg 2023-03-29 2023 /pmc/articles/PMC10257585/ /pubmed/36988679 http://dx.doi.org/10.1007/s00431-023-04940-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Selin, Sofia Mecklin, Minna Korppi, Matti Heikkilä, Paula Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
title | Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
title_full | Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
title_fullStr | Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
title_full_unstemmed | Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
title_short | Twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
title_sort | twenty-one-year follow-up revealed guideline-concordant and non-concordant trends in intensive care of bronchiolitis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257585/ https://www.ncbi.nlm.nih.gov/pubmed/36988679 http://dx.doi.org/10.1007/s00431-023-04940-2 |
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