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Related Experiment Videos

Respirosonography in infants with acute bronchiolitis.

A Tal1, I Sanchez, H Pasterkamp

  • 1Department of Pediatrics, Ben Gurion University, Beersheba, Israel.

American Journal of Diseases of Children (1960)
|December 1, 1991
PubMed
Summary

Respirosonography objectively assessed infant bronchiolitis treatment response to salbutamol (albuterol). Some infants showed significant wheezing reduction, indicating a positive response to this common asthma medication.

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Area of Science:

  • Pediatrics
  • Pulmonology
  • Medical Technology

Background:

  • Acute bronchiolitis is a common respiratory infection in infants.
  • Wheezing is a primary symptom, and its objective measurement is crucial for treatment assessment.
  • Salbutamol (albuterol) is frequently used, but its efficacy in bronchiolitis is debated.

Purpose of the Study:

  • To evaluate the effectiveness of nebulized salbutamol in infants with acute bronchiolitis.
  • To assess the utility of respirosonography in objectively measuring treatment response.
  • To analyze breathing patterns and wheezing characteristics in response to salbutamol.

Main Methods:

  • Respirosonography was employed to analyze lung sounds and breathing patterns in 16 infants with acute bronchiolitis.

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  • Wheezing was quantified as the proportion of respiratory time spent wheezing (Tw/Ttot).
  • A positive response was defined as a decrease of ≥10% in Tw/Ttot or a reduction to <2%.
  • Main Results:

    • Seven out of 16 infants showed a positive response to salbutamol, with significant decreases in Tw/Ttot and respiratory rate.
    • Non-responders exhibited no significant change or an increase in Tw/Ttot and respiratory rate.
    • Complex, non-sinusoidal wheezing waveforms were observed in 14 infants, suggesting unique respiratory dynamics.

    Conclusions:

    • Respirosonography offers a noninvasive method for objective assessment of wheezy children.
    • Findings support the clinical use of salbutamol in select infants with bronchiolitis.
    • Objective data from respirosonography can aid in evaluating bronchodilator response in pediatric respiratory conditions.