Use of continuous positive airway pressure during stabilisation and retrieval of infants with suspected bronchiolitis

Aim:  Infants with viral bronchiolitis are often hospitalised with a proportion requiring respiratory support. The aim of this review was to examine the use of nasal prong continuous positive airway pressure (CPAP) as a management strategy for infants with a diagnosis of bronchiolitis, who required stabilisation and transport to a tertiary centre. Method:  A retrospective audit of infants with bronchiolitis requiring CPAP during transport between January 2003 and June 2007. Results:  Nasal CPAP was initiated in 54 infants with 51 of these (34 ex‐preterm, 17 term) subsequently continuing on CPAP during retrieval. Mean CPAP pressure was 7 cmH 2 O. Oxygenation improved between stabilisation and the end of retrieval ( P  < 0.01). During retrieval, there was no significant increase in transcutaneous CO 2 , no infant required endotracheal ventilation and no adverse events were noted. Five infants were intubated within the first 24 h of admission at the receiving hospital. Conclusion:  This review demonstrated that use of nasal prong CPAP to transport infants with bronchiolitis was a safe management strategy in those with moderate to severe disease severity.