A regional cohort study of the treatment of critically ill children with bronchiolitis

Abstract

Even within a close geographic region, there is significant variation in the treatment provided to critically ill children with RSV bronchiolitis. None of these treatments were associated with shorter durations of hospitalization in this population and some, such as mechanical ventilation, were associated with longer ICU lengths of stay.

Virus detection in critically ill children with acute respiratory disease: a new profile in view of new technology

“…Although there were minor annual fluctuations during the study period, the overall rate of detection of adenovirus, hMPV and other IQR (interquartile range), *median of days, † for patients who was endotracheally intubated. respiratory viruses was not as high as compared to published studies of non-PICU settings (7,(19)(20)(21)(22). The potential reasons could be related to our inclusion criteria, i.e.…”

“…The hospital outcomes in the eight viruses were addressed in Table 2. Among all the viruses, adenovirus had a clinically significantly higher endotracheal intubation rate (36/50, 72%) and longer hospital LOS (19 days, IQR: [11][12][13][14][15][16][17][18][19].…”

Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain

“…Numerous studies have shown wide variation in the therapeutic management of moderate AB [7, 8]. Despite a lack of evidence, personal or institutional preferences are often maintained when AB patients require admission to the PICU [7, 8]. …”

A Randomized Controlled Trial of a Single Dose Furosemide to Improve Respiratory Distress in Moderate to Severe Bronchiolitis

“…There is significant heterogeneity in the routine care of infants with bronchiolitis among clinicians (11)(12)(13)(14). The use of furosemide in the management of bronchiolitis is not uncommon, though it is unproven.…”