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Literature review of nasal lavage technique in paediatrics

Ana Martínez-Serrano1, Paloma Martínez-Campos2, Laura Seijoso-González2

  • 1Urgencias Pediátricas, Hospital La Paz, Madrid, España.

Enfermeria Clinica (English Edition)
|February 26, 2021
PubMed

Insights

Nasal lavage using sterile saline and low pressure is recommended for pediatric upper respiratory infections. Further research is needed on optimal volume, materials, and patient positioning for this common childhood treatment.

Area of Science:

  • Pediatric Medicine
  • Respiratory Health
  • Clinical Techniques

Background:

  • Upper respiratory infections and bronchiolitis are frequent childhood illnesses.
  • Nasal lavage is a common technique in pediatric patient care for various sinus conditions.

Purpose of the Study:

  • To review and synthesize existing evidence on the nasal lavage technique in pediatric patients.
  • To provide evidence-based recommendations for nasal lavage in children.

Main Methods:

  • A comprehensive literature search was conducted across major medical databases (MEDLINE, EMBASE, CINAHL, COCHRANE PLUS).
  • Keywords included 'pediatrics,' 'respiratory tract infection,' 'bronchiolitis,' and 'nasal lavage.'
  • Eleven relevant articles were selected for analysis.

Main Results:

  • The selected articles provided recommendations structured into five sections concerning the nasal lavage technique.
  • Evidence supports specific parameters for effective and safe nasal lavage in children.

Conclusions:

  • Sterile isotonic saline, low positive pressure, and wide volumes via a disposable syringe are recommended.
  • Future studies should investigate optimal volume, materials, and patient positioning for nasal lavage.
Abstract

Keywords:
BronchiolitisBronquiolitisInfecciones del sistema respiratorioLavado nasal (proceso)Nasal lavage (process)PaediatricsPediatríaRespiratory tract infections

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