Heliox is readily available but the evidence just isn't quite there for asthma, bronchiolitis or croup. Special thanks to Theresa Frey from the Division of Emergency Medicine at Cincinnati Children's for her help wth this post.
I'm sure that you'll probably see a case of bronchiolitis this winter. Call it a hunch. In this episode of PEM Currents you'll learn why suctioning and ensuring hydration are still the mainstays of therapy, and why albuterol, racemic epinephrine, steroids and more don't have a place in routine cases.
Yes, I'm on Spring Break this week. So, no "new" content. But what if you haven't dove into the PEMBlog Archives? Check out a few of my educational series posts here.
I'm delighted to share the latest PEM Currents podcast! I recently sat down with Todd Florin, one of the faculty physicians at Cincinnati Children's Hospital Medical Center and talked about bronchiolitis, delving into the controversies around the use of hypertonic saline, albuterol and more. Todd [...]
Continuing onward with the next in the top ten articles presented at the recent AAP NCE in San Diego is a study of the use of hypertonic saline (HTS) in bronchiolitis. I'll stray a bit form the usual format in that this paper was presented [...]
I recently made some updates to my 8-part Bronchiolitis! series - specifically in the albuterol and racemic epinephrine posts. You can check out the entire series via the links below. I also highly recommend you read the AAP's Clinical Practice Guideline on bronchiolitis as well. [...]
Certainly you will be seeing some sicker children with bronchiolitis this winter who have issues with feeding. The copious nasal congestion and increased work of breathing may preclude adequate oral intake. Some of these children will merit admission and generally we obtain IV access for hydration. But [...]
Check out the latest PEM Currents podcast supplementing your high flow education. You can find it on: iTunes
For those of you that have been following the blog over the past week you've been inundated with a series of posts on bronchiolitis - the most common lower respirator tract infection in infants - that just happens to be taking the country by storm. If you [...]
Alas, this is the final post in the bronchiolitis series. I hope you've enjoyed it. Parts I, II, III, IV, V, VI, and VII aren't going anywhere - so check them out if you haven't done so yet. This post will focus on the disposition of patients with bronchiolitis in [...]