Conferencia de Consenso sobre bronquiolitis aguda (IV): tratamiento de la bronquiolitis aguda. Revisión de la evidencia . March, , 0, 0, Bronquiolitis: estudio variabilidad manejo en urgencias pediatricas. 1. .. aBREVIADo () Conferencia de Consenso sobre bronquiolitis. ferencia de Consenso Manejo diagnóstico y terapéutico de la bronquiolitis aguda; · GPC Bronquiolitis.

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Consensus conference on acute bronchiolitis IV: Mandelberg A, Amirav I. The treatment consisted bronquiolitks administering 3 cc of saline solution with a standard nebulizer along with oxygen every eight hours if this was the sole treatment, and every four to six hours if it was given in combination with drugs.

We found that the need for oxygen therapy was significantly reduced in the group of children younger than 3 months who were given nebulised PSS; furthermore, the children whose nasopharyngeal aspirates tested positive for RSV and who were given nebulised PSS also required fewer hours of oxygen therapy. No treatment has proved effective in preventing persistence or recurrence of post-bronchiolitis symptoms.

[Consensus conference on acute bronchiolitis (I): methodology and recommendations].

The lag consennso clinical practise and scientific evidence leads to a high and unjustified use of social and economic resources 45. Subscribe to our Newsletter. The literature we reviewed included studies done with hospitalised patients and studies with patients that sought emergency room care but were consrnso admitted to the hospital.

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. CiteScore measures average citations received per document published. Only in moderate-severe bronchiolitis would it be justified to test a treatment with donsenso bronchodilators salbutamol or epinephrine with or without hypertonic saline solution.

Isr Med Assoc J. Inhalation of hypertonic saline aerosol enhances mucociliary clearance in asthmatic and healthy subjects. Are you a health professional able to prescribe or dispense drugs?



Children were diagnosed with AB if they had a history of preceding viral upper respiratory tract infection and a clinical presentation with respiratory distress and wheezing or crackles on chest auscultation McConnochie criteria.

Show all Show less. Consenos the prevalence of AB, and its social and economic repercussions, we consemso emphasise the need to carry out studies on this subject in the future. AB may be one of the most widely studied pathologies in children, with numerous clinical practice guidelines and expert group recommendations addressing the condition 23yet despite all the published information there is no consensus on how to provide treatment for this group of patients.

The Cochrane review that we consulted 13 included three hospital studies in which the authors presented statistically significant results, with a 0.

As for prevention of bronchiolitis, only bronquiolifis slightly reduces the risk of admissions for lower respiratory infections by respiratory syncytial virus, although its high cost justifies its use only in a small group of high-risk patients.

The age range of the patients was ten days to 6. Evidence on the frequency of bronchiolitis in the general population and risk groups, risk factors and markers of severe forms, severity scores and the clinical-etiological profile is summarized.

The patients who received 0.

Thus far, oxygen therapy is the only treatment that has been shown to improve the clinical course of AB, which is why the management of these patients is based on general supportive care measures 8. The criteria for discharge were not having a fever, a good general health status, tolerating oral feeding, and not requiring oxygen therapy. Calogero C, Sly PD. The Spanish Association of Pediatrics has as one of its main objectives the dissemination of rigorous and updated scientific information on the different areas of pediatrics.

The authors declare that they had no conflict of interests when it came to preparing bronquiollitis publishing this paper.

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[Consensus conference on acute bronchiolitis (I): methodology and recommendations].

AB is characterised by an acute inflammation of the terminal bronchioles, with airway oedema and mucus plugging being the predominant pathological features, which is why any therapeutic approach that can decrease these alterations and improve secretion clearance can be beneficial 6.

One limitation in our study was that the patients were not randomly assigned to treatment and control groups. The children that presented at least one of the following symptoms during the emergency room visit were admitted to the hospital: There was no significant difference between the groups.

We ought to emphasise that these results cannot be extrapolated to ambulatory patients, who at that level of care do not require oxygen therapy.

We expressed the basic data in means and standard deviations for quantitative variables, and in frequencies and percentages in the case of qualitative variables. Oxygen saturation levels were recorded by the nursing staff every four hours.

Review of scientific evidence. The magazine, referring to the Spanish-speaking pediatric, indexed in major international databases: Table 3 shows the results obtained in relation to the presence or absence of respiratory syncytial virus RSV in the nasopharyngeal aspirates.

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Inf Ter Sist Nac Salud. Effect of hypertonic saline, amiloride and cough on muciciliary clearance in patients with cystic fibrosis. Nebulised hypertonic saline significantly decreases length of hospital stay and reduces symptoms in children with bronchiolitis.

Treatment of acute bronchiolitis. Are you a health professional able to prescribe or dispense drugs? Rev Posgrado de la VI. Effect of inhaled bronquiooitis saline on hospital admission rate in children with viral bronchiolitis: