Oxigenoterapia de alto flujo con cánula nasal en el tratamiento de la bronquiolitis aguda en neonatos

Barrezueta, Lorena Bermúdez; Carbonell, Nuria García; Montes, Jorge López; Zafra, R.; Reina, Purificación Marín; Herrmannova, Jana; Soriano, Javier Casero

doi:10.1016/j.anpedi.2016.03.001

Cited by 2 publications

(4 citation statements)

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“…Acute bronchiolitis in infants is the leading cause of hospital admission in the winter months, and up to 5-15% of them require admission to a PICU 1,2,7,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Acute bronchiolitis is the first episode of respiratory distress with wheezing or decreased alveolar air entry caused by inflammation of the lower airway in infants under two years of age. It is usually preceded by a catarrhal presentation of the upper airways with rhinitis, cough, or fever [1][2][3][4] . Its diagnosis is essentially clinical 2,5,6 .…”

Section: Introductionmentioning

confidence: 99%

“…Bronchiolitis is a pathology affecting the lower respiratory tract, usually of viral etiology 2,7 . Although most cases are self-limited and can be managed at home, bronchiolitis is the leading cause of hospital admission in infants during the winter months 1,2,8 . Between 1-5% of patients require hospital admission, and 5-15% need respiratory support in a Pediatric Intensive Care Unit (PICU).…”

Section: Introductionmentioning

confidence: 99%

“…Between 1-5% of patients require hospital admission, and 5-15% need respiratory support in a Pediatric Intensive Care Unit (PICU). Acute bronchiolitis is the most frequent infectious cause of hospitalization in infants with no underlying chronic disease 1,7,9,10 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Analysis of predictors of response to high-flow oxygen nasal cannula therapy in a pediatric intensive care unit

Lobera¹,

Bardella-Gil²,

García-Iñiguez³

2022

BMHIM

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Background: Bronchiolitis is one of the most frequent reasons for admission to pediatric intensive care units. Medical treatment is primarily supportive. The usefulness of high-flow oxygen (HFO) nasal cannula in these patients has been described. This study evaluated the clinical and analytical variables of patients admitted to our Pediatric Intensive Care Unit (PICU) for initiation or continuation of HFO for respiratory distress and to identify any variable that may be a predictor of success or failure of this technique. Methods: We conducted a retrospective observational study that included infants aged < 24 months admitted to our PICU due to bronchiolitis between January 2015 and March 2019 for HFO. Results: We analyzed the characteristics between responders (n = 112) and non-responders (n = 37). No statistically significant differences were observed between groups regarding sex, age, weight, comorbidities, nasopharyngeal aspirate result, hours of evolution, and respiratory and heart rate. However, a pCO 2 ≥ 75 mmHg (p = 0.043) and a SCORE of bronchiolitis severity (p = 0.032) were predictors of HFNC failure. Conclusions: The pCO 2 level and SCORE of bronchiolitis severity are predictors of this respiratory support modality.

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“…Acute bronchiolitis in infants is the leading cause of hospital admission in the winter months, and up to 5-15% of them require admission to a PICU 1,2,7,8 .…”

Section: Discussionmentioning

confidence: 99%