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Publication Date

10-2016

Disclaimer

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.

Objective of the Guideline

To standardize the care of children who present for the first time with symptoms typical of bronchiolitis.

Target Users

Emergency Department/ Urgent Care Center (ED/UCC) physicians, General Pediatricians, Pediatric Nurse Practitioners

Clinical Questions Answered by Guideline

1. For the child being treated for the symptoms of bronchiolitis, what is the goal oxygen saturation that should be maintained?

2. Updated October 2016-For the patient who presents with the symptoms of bronchiolitis should inhaled hypertonic saline be used?

3. For the child with bronchiolitis when should nasal suctioning (with a bulb tip) or nasopharyngeal suctioning (with a catheter) be used to clear secretions?

4. Updated October 2016-For the child who presents with the symptoms of bronchiolitis should high flow, high humidity nasal cannula be used?

5. Updated October 2016- For the child who presents with the symptoms of bronchiolitis should inhaled racemic epinephrine be used in the inpatient or outpatient settings?

6. For the child who presents with the symptoms of bronchiolitis should glucocorticoids be used in the inpatient or outpatient settings?

7. For the child who presents with the symptoms of bronchiolitis should short acting beta agonists be used in the inpatient or outpatient settings?

8. For the child who presents with the symptoms of bronchiolitis should antibiotics be used in the inpatient or outpatient settings?

9. For the child with bronchiolitis should laboratory tests and/or chest x-rays be obtained?

Keywords

Bronchiolitis

Disciplines

Pediatrics

Bronchiolitis

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Pediatrics Commons

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