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Use of continuous positive airway pressure during stabilisation and retrieval of infants with suspected bronchiolitis
Author(s) -
Fleming Paul F,
Richards Susie,
Waterman Kelly,
Davis Peter G,
Kamlin C Omar F,
Sokol Jenni,
Stewart Michael
Publication year - 2012
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2012.02468.x
Subject(s) - medicine , bronchiolitis , continuous positive airway pressure , anesthesia , airway , pediatrics , respiratory system , obstructive sleep apnea
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.