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Related Experiment Video

Updated: Sep 4, 2025

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
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Consensus on Nasal Irrigation in Infants: A Delphi Study.

Nicolas Audag1,2,3,4, Pierre Cnockaert2,4, Gregory Reychler1,2,3,4

  • 1Institut de recherche expérimentale et clinique (IREC), pôle de Pneumologie, ORL et Dermatologie, Université Catholique de Louvain, Brussels, Belgium.

The Annals of Otology, Rhinology, and Laryngology
|July 14, 2022
PubMed
Summary

This study established expert consensus on nasal irrigation for infants, creating guidelines for safe and effective upper airway symptom relief. Further trials are needed to validate these best practices for infant nasal care.

Keywords:
Delphi surveyinfantnasal irrigationnasal lavageupper airways

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Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Evidence-Based Practice

Background:

  • Nasal irrigation is common for infant upper airway symptoms.
  • Current practices are inconsistent due to a lack of consensus on proper techniques.

Purpose of the Study:

  • To establish expert consensus on the best practices for nasal irrigation in infants.
  • To provide standardized guidelines for clinicians and researchers.

Main Methods:

  • A Delphi technique survey was used with 30 Belgian pediatric physiotherapists and physicians.
  • Three rounds of surveys with Likert scale agreement ratings were conducted.
  • Consensus was defined as at least 75% agreement or disagreement on statements.

Main Results:

  • Consensus was reached on 47 out of 75 statements (63%) across key domains.
  • Key domains included contraindications, indications, irrigation methods, solution preparation, and technique.
  • Agreement was established on aspects of infant nasal care and efficacy assessment.

Conclusions:

  • This study presents the first consensus on good practice for infant nasal irrigation.
  • Established consensus requires validation in future clinical trials.
  • Identified areas lacking consensus provide direction for future research in infant respiratory care.