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Going with the flow: respiratory care in the pediatric emergency department

Therese L Canares1, Craig Tucker1, Aris Garro2

  • 1affiliated with Hasbro Children's Hospital/The Warren Alpert Medical School of Brown University, Providence, RI.

Rhode Island Medical Journal (2013)
|January 9, 2014
PubMed

Insights

Pediatric emergency departments face severe respiratory illnesses. This review covers updated management for bronchiolitis using high flow nasal cannula, croup with Heliox, and asthma with breath-actuated nebulizers.

Area of Science:

  • Pediatric Emergency Medicine
  • Respiratory Illness Management

Background:

  • Pediatric emergency departments (ED) commonly treat severe respiratory conditions.
  • Effective management strategies are crucial for positive patient outcomes.

Purpose of the Study:

  • To review updated management protocols for common pediatric respiratory illnesses.
  • To highlight unique adjuncts in emergency department (ED) treatment.

Main Methods:

  • Review of current literature on bronchiolitis, croup, and asthma.
  • Focus on specific interventions: high flow nasal cannula, Heliox, and breath-actuated nebulizers.

Main Results:

  • High flow nasal cannula may reduce intubation rates in bronchiolitis.
  • Heliox can be an adjunctive therapy for croup.
  • Breath-actuated nebulizers offer an alternative asthma treatment approach in the ED.

Conclusions:

  • Updated management strategies and adjuncts can improve care for pediatric respiratory emergencies.
  • These interventions offer potential benefits in reducing the severity and need for invasive procedures.

Keywords:
asthmabronchiolitiscrouppediatricsrespiratory care

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