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Updated: Jun 29, 2026

Bronchoalveolar Lavage (BAL) for Research; Obtaining Adequate Sample Yield
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Published on: March 24, 2014

Nebulized hypertonic saline solution for acute bronchiolitis in infants.

Linjie Zhang1, Raúl A Mendoza-Sassi, Claire Wainwright

  • 1Department of Maternal and Child Health, Federal University of Rio Grande, Rua Visconde Paranaguá 102, Centro, Rio Grande, RS, Brazil, 96201-900. zhanglinjie63@yahoo.com.br

The Cochrane Database of Systematic Reviews
|October 10, 2008
PubMed
Summary

Nebulized 3% saline significantly reduced hospital stays and improved clinical scores in infants with acute viral bronchiolitis. This treatment offers a safe and effective option for managing this common respiratory illness in infants.

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Area of Science:

  • Pediatric Respiratory Medicine
  • Critical Care
  • Evidence-Based Medicine

Background:

  • Acute viral bronchiolitis in infants is characterized by airway edema and mucus plugging.
  • Nebulized hypertonic saline solution shows potential in reducing these pathological changes and alleviating airway obstruction.

Purpose of the Study:

  • To evaluate the efficacy of nebulized hypertonic saline solution in treating infants diagnosed with acute viral bronchiolitis.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs) and quasi-RCTs.
  • Searched multiple databases including CENTRAL, MEDLINE, EMBASE, and LILACS.
  • Included studies involved infants up to 24 months with acute bronchiolitis treated with nebulized hypertonic saline.

Main Results:

  • Four trials with 254 infants were included.
  • Nebulized 3% saline significantly reduced mean hospital stay compared to 0.9% saline (MD -0.94 days, P = 0.0006).
  • The 3% saline group showed significantly lower clinical scores on days 1-3 and reported no adverse events.

Conclusions:

  • Nebulized 3% saline demonstrates significant benefits in reducing hospital stay duration for infants with acute viral bronchiolitis.
  • The treatment effectively improves clinical severity scores, with greater impact observed in outpatients.
  • Current evidence supports nebulized 3% saline as a safe and effective intervention for acute viral bronchiolitis in infants.