Bronchiolitis / Wheezing – 3-24 Months - Revision history

LiamG at 12:51, 24 September 2024

2024-09-24T12:51:39Z

← Older revision		Revision as of 12:51, 24 September 2024
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	*tachypnea or respiratory depression		*tachypnea or respiratory depression
	*low room air oxygen saturations		*low room air oxygen saturations
	'''Management:''' see [[media:~~Bronchiolitis_wheezing~~.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]		'''Management:''' see [[media:Respiratory_distress.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]
	<br/>'''Prevention:'''		<br/>'''Prevention:'''
	*Good Hand Hygiene		*Good Hand Hygiene
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	*Synagis for infants who qualify		*Synagis for infants who qualify
	===Resources/References===		===Resources/References===
	* [[media:~~Bronchiolitis_wheezing~~.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]		* [[media:Respiratory_distress.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]
	*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665		*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665
	* Singleton, Rosalyn J. MD; Bruden, Dana MS; Bulkow, Lisa R. MS [https://journals.lww.com/pidj/Fulltext/2007/11001/Respiratory_Syncytial_Virus_Season_and.5.aspx Respiratory Syncytial Virus Season and Hospitalizations in the Alaskan Yukon-Kuskokwim Delta], ''The Pediatric Infectious Disease Journal'': November 2007 - Volume 26 - Issue 11 - p S46-S50 doi: 10.1097/INF.0b013e318157da9b		* Singleton, Rosalyn J. MD; Bruden, Dana MS; Bulkow, Lisa R. MS [https://journals.lww.com/pidj/Fulltext/2007/11001/Respiratory_Syncytial_Virus_Season_and.5.aspx Respiratory Syncytial Virus Season and Hospitalizations in the Alaskan Yukon-Kuskokwim Delta], ''The Pediatric Infectious Disease Journal'': November 2007 - Volume 26 - Issue 11 - p S46-S50 doi: 10.1097/INF.0b013e318157da9b

JenniferH: /* Resources/References */

2022-02-10T05:47:14Z

Resources/References

← Older revision		Revision as of 05:47, 10 February 2022
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	*Hsieh, Chia-Wen et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489028/ Exploring the efficacy of using hypertonic saline for nebulizing treatment in children with bronchiolitis: a meta-analysis of randomized controlled trials.] ''BMC pediatrics'' vol. 20,1 434. 14 Sep. 2020, doi:10.1186/s12887-020-02314-3		*Hsieh, Chia-Wen et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489028/ Exploring the efficacy of using hypertonic saline for nebulizing treatment in children with bronchiolitis: a meta-analysis of randomized controlled trials.] ''BMC pediatrics'' vol. 20,1 434. 14 Sep. 2020, doi:10.1186/s12887-020-02314-3
	*Hendaus, Mohamed A et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608625/ Pulse oximetry in bronchiolitis: is it needed?.] ''Therapeutics and clinical risk management'' vol. 11 1573-8. 12 Oct. 2015, doi:10.2147/TCRM.S93176		*Hendaus, Mohamed A et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608625/ Pulse oximetry in bronchiolitis: is it needed?.] ''Therapeutics and clinical risk management'' vol. 11 1573-8. 12 Oct. 2015, doi:10.2147/TCRM.S93176
			*Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC), Cloutier MM, et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924476/pdf/nihms-1642529.pdf 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.] J Allergy Clin Immunol. 2020 Dec;146(6):1217-1270. doi: 10.1016/j.jaci.2020.10.003. Erratum in: J Allergy Clin Immunol. 2021 Apr;147(4):1528-1530. PMID: 33280709; PMCID: PMC7924476.
	*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.		*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.
	*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC		*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC

JenniferH: /* Resources/References */

2021-02-18T07:08:43Z

Resources/References

← Older revision		Revision as of 07:08, 18 February 2021
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	* [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]		* [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]
	*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665		*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665
	* Singleton, Rosalyn J. MD*†; Bruden, Dana ~~MS†~~; Bulkow, Lisa R. ~~MS†~~ [https://journals.lww.com/pidj/Fulltext/2007/11001/Respiratory_Syncytial_Virus_Season_and.5.aspx Respiratory Syncytial Virus Season and Hospitalizations in the Alaskan Yukon-Kuskokwim Delta], ''The Pediatric Infectious Disease Journal'': November 2007 - Volume 26 - Issue 11 - p S46-S50 doi: 10.1097/INF.0b013e318157da9b		* Singleton, Rosalyn J. MD; Bruden, Dana MS; Bulkow, Lisa R. MS [https://journals.lww.com/pidj/Fulltext/2007/11001/Respiratory_Syncytial_Virus_Season_and.5.aspx Respiratory Syncytial Virus Season and Hospitalizations in the Alaskan Yukon-Kuskokwim Delta], ''The Pediatric Infectious Disease Journal'': November 2007 - Volume 26 - Issue 11 - p S46-S50 doi: 10.1097/INF.0b013e318157da9b
	* [[media:Pediatric Respiratory Hospitalizations.pdf\|Respiratory Hospitalizations in the Delta]] (Powerpoint Presentation by Rosalyn Singleton, MD)		* [[media:Pediatric Respiratory Hospitalizations.pdf\|Respiratory Hospitalizations in the Delta]] (Powerpoint Presentation by Rosalyn Singleton, MD)
	* Martinez, P; Weiss, B. [https://www.tandfonline.com/doi/abs/10.3402/ijch.v65i4.18119 Unchanged asthma prevalence during 1990–1999 in rural Alaska Native]. International Journal of Circumpolar Health, 65:4, 341-346, DOI: 10.3402/ijch.v65i4.18119		* Martinez, P; Weiss, B. [https://www.tandfonline.com/doi/abs/10.3402/ijch.v65i4.18119 Unchanged asthma prevalence during 1990–1999 in rural Alaska Native]. International Journal of Circumpolar Health, 65:4, 341-346, DOI: 10.3402/ijch.v65i4.18119

JenniferH: /* Resources/References */

2021-02-18T07:08:14Z

Resources/References

← Older revision		Revision as of 07:08, 18 February 2021
Line 26:		Line 26:
	* [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]		* [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]
	*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665		*Lewis, T. et al. [https://journal.chestnet.org/article/S0012-3692(15)32159-0/abstract Prevalence of Asthma and Chronic Respiratory Symptoms Among Alaska Native Children]. CHEST. 125(5):1665-1673, May 2004. doi.org/10.1378/chest.125.5.1665
			* Singleton, Rosalyn J. MD*†; Bruden, Dana MS†; Bulkow, Lisa R. MS† [https://journals.lww.com/pidj/Fulltext/2007/11001/Respiratory_Syncytial_Virus_Season_and.5.aspx Respiratory Syncytial Virus Season and Hospitalizations in the Alaskan Yukon-Kuskokwim Delta], ''The Pediatric Infectious Disease Journal'': November 2007 - Volume 26 - Issue 11 - p S46-S50 doi: 10.1097/INF.0b013e318157da9b
	* [[media:Pediatric Respiratory Hospitalizations.pdf\|Respiratory Hospitalizations in the Delta]] (Powerpoint Presentation by Rosalyn Singleton, MD)		* [[media:Pediatric Respiratory Hospitalizations.pdf\|Respiratory Hospitalizations in the Delta]] (Powerpoint Presentation by Rosalyn Singleton, MD)
	* Martinez, P; Weiss, B. [https://www.tandfonline.com/doi/abs/10.3402/ijch.v65i4.18119 Unchanged asthma prevalence during 1990–1999 in rural Alaska Native]. International Journal of Circumpolar Health, 65:4, 341-346, DOI: 10.3402/ijch.v65i4.18119		* Martinez, P; Weiss, B. [https://www.tandfonline.com/doi/abs/10.3402/ijch.v65i4.18119 Unchanged asthma prevalence during 1990–1999 in rural Alaska Native]. International Journal of Circumpolar Health, 65:4, 341-346, DOI: 10.3402/ijch.v65i4.18119

JenniferH: /* Resources/References */

2021-01-07T10:27:00Z

Resources/References

← Older revision		Revision as of 10:27, 7 January 2021
Line 40:		Line 40:
	*Zhang, Linjie et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485976/ Nebulised hypertonic saline solution for acute bronchiolitis in infants.] ''The Cochrane database of systematic reviews'' vol. 12,12 CD006458. 21 Dec. 2017, doi:10.1002/14651858.CD006458.pub4		*Zhang, Linjie et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485976/ Nebulised hypertonic saline solution for acute bronchiolitis in infants.] ''The Cochrane database of systematic reviews'' vol. 12,12 CD006458. 21 Dec. 2017, doi:10.1002/14651858.CD006458.pub4
	*Hsieh, Chia-Wen et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489028/ Exploring the efficacy of using hypertonic saline for nebulizing treatment in children with bronchiolitis: a meta-analysis of randomized controlled trials.] ''BMC pediatrics'' vol. 20,1 434. 14 Sep. 2020, doi:10.1186/s12887-020-02314-3		*Hsieh, Chia-Wen et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489028/ Exploring the efficacy of using hypertonic saline for nebulizing treatment in children with bronchiolitis: a meta-analysis of randomized controlled trials.] ''BMC pediatrics'' vol. 20,1 434. 14 Sep. 2020, doi:10.1186/s12887-020-02314-3
			*Hendaus, Mohamed A et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608625/ Pulse oximetry in bronchiolitis: is it needed?.] ''Therapeutics and clinical risk management'' vol. 11 1573-8. 12 Oct. 2015, doi:10.2147/TCRM.S93176
	*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.		*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.
	*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC		*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC

JenniferH at 08:34, 7 January 2021

2021-01-07T08:34:01Z

← Older revision		Revision as of 08:34, 7 January 2021
Line 18:		Line 18:
	*low room air oxygen saturations		*low room air oxygen saturations
	'''Management:''' see [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]		'''Management:''' see [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]
			<br/>'''Prevention:'''
			*Good Hand Hygiene
			*Encourage breastfeeding for at least 6 months
			*discuss Tobacco Cessation when appropriate
			*Synagis for infants who qualify
	===Resources/References===		===Resources/References===
	* [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]		* [[media:Bronchiolitis_wheezing.pdf\|Bronchiolitis/Wheezing YKHC Clinical Guideline]]

JenniferH at 08:29, 7 January 2021

2021-01-07T08:29:25Z

← Older revision		Revision as of 08:29, 7 January 2021
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	<br/>'''Diagnosis:''' based on history and clinical presentation		<br/>'''Diagnosis:''' based on history and clinical presentation
	<br/>'''Demographics:'''		<br/>'''Demographics:''' hospitalization rate for Alaska Native children 3x general population in some studies
	<br/>'''Signs/Symptoms:''' cough, rhinorrhea, wheezing, respiratory distress, poor feeding		<br/>'''Signs/Symptoms:''' cough, rhinorrhea, wheezing, respiratory distress, poor feeding
	<br/>'''Risk Factors for Severe Disease:'''		<br/>'''Risk Factors for Severe Disease:'''

JenniferH: /* Resources/References */

2021-01-07T08:10:05Z

Resources/References

← Older revision		Revision as of 08:10, 7 January 2021
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	*Condella, Anna et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942012/ Multicenter Study of Albuterol Use Among Infants Hospitalized with Bronchiolitis.] ''The western journal of emergency medicine'' vol. 19,3 (2018): 475-483. doi:10.5811/westjem.2018.3.35837		*Condella, Anna et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942012/ Multicenter Study of Albuterol Use Among Infants Hospitalized with Bronchiolitis.] ''The western journal of emergency medicine'' vol. 19,3 (2018): 475-483. doi:10.5811/westjem.2018.3.35837
	*Zhang, Linjie et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485976/ Nebulised hypertonic saline solution for acute bronchiolitis in infants.] ''The Cochrane database of systematic reviews'' vol. 12,12 CD006458. 21 Dec. 2017, doi:10.1002/14651858.CD006458.pub4		*Zhang, Linjie et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485976/ Nebulised hypertonic saline solution for acute bronchiolitis in infants.] ''The Cochrane database of systematic reviews'' vol. 12,12 CD006458. 21 Dec. 2017, doi:10.1002/14651858.CD006458.pub4
			*Hsieh, Chia-Wen et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489028/ Exploring the efficacy of using hypertonic saline for nebulizing treatment in children with bronchiolitis: a meta-analysis of randomized controlled trials.] ''BMC pediatrics'' vol. 20,1 434. 14 Sep. 2020, doi:10.1186/s12887-020-02314-3
	*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.		*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.
	*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC		*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC

JenniferH: /* Resources/References */

2021-01-07T08:06:58Z

Resources/References

← Older revision		Revision as of 08:06, 7 January 2021
Line 34:		Line 34:
	*Roqué i Figuls, Marta et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458017/ Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old.] ''The Cochrane database of systematic reviews'' vol. 2,2 CD004873. 1 Feb. 2016, doi:10.1002/14651858.CD004873.pub5		*Roqué i Figuls, Marta et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458017/ Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old.] ''The Cochrane database of systematic reviews'' vol. 2,2 CD004873. 1 Feb. 2016, doi:10.1002/14651858.CD004873.pub5
	*Condella, Anna et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942012/ Multicenter Study of Albuterol Use Among Infants Hospitalized with Bronchiolitis.] ''The western journal of emergency medicine'' vol. 19,3 (2018): 475-483. doi:10.5811/westjem.2018.3.35837		*Condella, Anna et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942012/ Multicenter Study of Albuterol Use Among Infants Hospitalized with Bronchiolitis.] ''The western journal of emergency medicine'' vol. 19,3 (2018): 475-483. doi:10.5811/westjem.2018.3.35837
			*Zhang, Linjie et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485976/ Nebulised hypertonic saline solution for acute bronchiolitis in infants.] ''The Cochrane database of systematic reviews'' vol. 12,12 CD006458. 21 Dec. 2017, doi:10.1002/14651858.CD006458.pub4
	*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.		*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.
	*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC		*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC

JenniferH: /* Resources/References */

2021-01-07T07:59:03Z

Resources/References

← Older revision		Revision as of 07:59, 7 January 2021
Line 33:		Line 33:
	*Kou, et al. [https://www.sciencedirect.com/science/article/pii/S0733862717301414?via%3Dihub Bronchiolitis: From Practice Guideline to Clinical Practice]. ''Emerg. Med. Clin. North. Am.'', 36 (2018), pp. 275-286, 10.1016/j.emc.2017.12.006		*Kou, et al. [https://www.sciencedirect.com/science/article/pii/S0733862717301414?via%3Dihub Bronchiolitis: From Practice Guideline to Clinical Practice]. ''Emerg. Med. Clin. North. Am.'', 36 (2018), pp. 275-286, 10.1016/j.emc.2017.12.006
	*Roqué i Figuls, Marta et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458017/ Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old.] ''The Cochrane database of systematic reviews'' vol. 2,2 CD004873. 1 Feb. 2016, doi:10.1002/14651858.CD004873.pub5		*Roqué i Figuls, Marta et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458017/ Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old.] ''The Cochrane database of systematic reviews'' vol. 2,2 CD004873. 1 Feb. 2016, doi:10.1002/14651858.CD004873.pub5
			*Condella, Anna et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942012/ Multicenter Study of Albuterol Use Among Infants Hospitalized with Bronchiolitis.] ''The western journal of emergency medicine'' vol. 19,3 (2018): 475-483. doi:10.5811/westjem.2018.3.35837
	*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.		*[https://www.cdc.gov/rsv/research/aip.html RSV in Alaskan Native Infants] from the CDC.
	*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC		*[https://www.cdc.gov/ncezid/dpei/pdf/16_270091_FS_ArcticInvestigations_508-2.pdf Improving Health for Alaska and Arctic Residents: Arctic Investigations Program] through the CDC