Fall 2014 – Acute Bronchiolitis – Case Report and Review of Management Guidelines
Acute Bronchiolitis – Case Report and Review of Management Guidelines.
Author: Neil D. Dattani, Clare M. Hutchinson
Author Affiliations: Norwich Medical School, Faculty of Medicine and health Sciences, University of East Anglia, Norwich, United KingdomFull Text Article PDF
Corresponding Author: Clare M. Hutchinson, claremhutchinson[at]gmail.com
Key Words: Bronchiolitis; Case reports; Pediatrics; Practice guidelines; Therapeutics.
Abstract: Introduction: The treatment of acute bronchiolitis is controversial, despite the fact that several well-designed trials have been conducted on the subject. Patient profile: A 10-month-old boy presented to the emergency department with a 3-day history of upper respiratory tract symptoms and an expiratory wheeze. Chest X-ray showed right upper lobe atelectasis. He was diagnosed with acute bronchiolitis. Interventions: He received nebulized salbutamol (albuterol) and oral dexamethasone in the emergency department. He was admitted to hospital overnight for continued salbutamol treatment via a metered-dose inhaler. Discussion: Five main treatment regimens exist for acute bronchiolitis nebulized epinephrine (adrenaline), other bronchodilators, nebulized hypertonic saline, glucocorticoids, and combinations of these. Nebulized epinephrine decreases the rate of hospitalization, other bronchodilators improve symptoms, and nebulized hypertonic saline reduces the length of hospitalization. There is no strong evidence for glucocorticoids or combinations of these treatments. Combined treatment with epinephrine and dexamethasone reduces rate of hospitalization.
Published on date: September 31, 2014
Senior Editor: Kevin Patterson
Junior Editor: Patrick Roach
Citation: Dattani ND, Hutchinson CM. Acute Bronchiolitis – Case Report and Review of Management Guidelines. Medical Student Research Journal. 2014;4(Fall):8-11.
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