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- W1961768191 abstract "Background Viral bronchiolitis is a leading cause of hospitalisation. Interventions to reduce morbidity are challenging. We evaluated HFNO in infants with acute bronchiolitiis on a general paediatric ward. Previous HFNO experience has been in a PICU or HDU settings. Aim: To assess responses to HFNO in previously well children and in those with underlying co morbidities. Methods: Prospective study between November 2011 and February 2012. Inclusion criteria were patients needing >30% Fi02 or a RR(respiratory rate)≥60/ minute. Results: Nine previously well infants, mean age 40 days (range 10-120 days) were commenced on HFNO. Mean RR and pulse rate prior to initiating HFNO was 73 and 146 respectively. Mean oxygen requirement was 37%. 5 patients had observations done before 2 hours and then between 2-4 hours. A reduction in mean RR to 54 at 2 hours and 47 at 4 hours was observed. The mean pulse rate reduced to 132 and 102. Mean oxygen requirement was higher at 2 hours (43%) but reduced at 4 hours (32%). No significant change in blood gases noted. 8 children responded well to HFNO. One patient required nasal CPAP. Five children with underlying co morbidities and acute bronchiolitis were started on HFNO. These children were older, mean age 270 days (range 60-630). Of these 5, 3 deteriorated on HFNO and required escalating interventions. Conclusion: In previously well infants with bronchiolitis, HFNO is safe in a general paediatric ward setting and offers clinical benefits within 2-4 hours. Children with underlying disorders may not respond as well and if no improvement is seen within 4 hours, stepping up treatment may be desirable." @default.
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- W1961768191 date "2012-09-01" @default.
- W1961768191 modified "2023-09-23" @default.
- W1961768191 title "Use of high flow nasal oxygen (HFNO) for bronchiolitis in a general paediatric ward: Preliminary experiences" @default.
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