Related Experiment Video
Updated: Feb 24, 2026
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
5.0K
Bronchiolitis Care in the Hospital
Jennifer Orr Vincent1, Huay-Ying Lo2, Susan Wu3
1Division of Pediatrics and Adolescent Medicine, University of North Carolina 231 MacNider, CB#7225 Chapel Hill, NC 27599. United States.
Reviews on Recent Clinical Trials
|August 18, 2017
Summary
Supportive care is the primary treatment for viral bronchiolitis in children. Evidence does not support routine use of bronchodilators, corticosteroids, or antibiotics, focusing instead on hydration and oxygen therapy.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Viral bronchiolitis is a frequent reason for pediatric hospitalization.
- Current treatments often focus on supportive care, despite various therapeutic options.
Purpose of the Study:
- To review current evidence on supportive and pharmacologic treatments for hospitalized bronchiolitis patients.
- To inform clinical practice regarding effective bronchiolitis management.
Main Methods:
- Conducted a MEDLINE search with a medical librarian.
- Focused on publications concerning bronchiolitis management and therapies.
Main Results:
- Bronchodilators, epinephrine, corticosteroids, and antibiotics lack evidence for routine use.
- Hypertonic saline may benefit select patients; continuous pulse oximetry is not routinely recommended.
- Supplemental oxygen targets are ≥90% oxyhemoglobin; high-flow nasal cannula may reduce intubation.
- Intravenous or nasogastric hydration is indicated for insufficient oral intake.
Conclusions:
- Bronchiolitis is a self-limited viral illness.
- Supportive care remains the cornerstone of bronchiolitis treatment.
- Evidence-based guidelines support conservative management strategies.
Related Concept Videos
01:28Pneumonia IV: Management
855
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
855
01:30Pneumonia V: Nursing management and Prevention
3.7K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.7K
01:29Acute Respiratory Failure-V
551
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
551
01:30Pneumonia III: Complications and Assessment
963
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
963
01:26Tonsillitis II: Management
480
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
480
01:23Acute Respiratory Failure-IV
618
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
618