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Published on: August 24, 2019
Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study
Insights
A handheld fan improved breathing in children with respiratory infections. This intervention, combined with standard care, led to better oxygen levels and reduced heart and respiratory rates in pediatric patients.
Area of Science:
- Pediatric Emergency Medicine
- Respiratory Physiology
- Clinical Intervention Studies
Background:
- Acute respiratory tract infections frequently cause pediatric emergency admissions due to dyspnea (shortness of breath).
- Dyspnea in children is distressing and necessitates effective management strategies in emergency settings.
Purpose of the Study:
- To evaluate the efficacy of a handheld fan as an adjunct intervention for pediatric patients experiencing dyspnea.
- To assess the impact of the fan intervention on key physiological parameters in children with upper respiratory tract infections.
Main Methods:
- A randomized controlled trial involving 59 children (2-12 years) with upper respiratory tract infections.
- The experimental group received standard care plus a handheld fan applied to the face for 5 minutes after each of three inhaled bronchodilator treatments.
- Physiological parameters including oxygen saturation, heart rate, and respiratory rate were measured pre- and post-intervention.
Main Results:
- The fan intervention group demonstrated significantly greater increases in oxygen saturation post-treatment compared to the control group.
- Children receiving the fan intervention showed significantly greater reductions in heart rate and respiratory rate after treatment compared to baseline.
- No significant baseline differences were observed between the intervention and control groups.
Conclusions:
- A handheld fan intervention is an effective supportive measure for children receiving inhaled bronchodilator treatments for dyspnea.
- This simple intervention positively impacts physiological markers in pediatric patients with respiratory distress.
- Further research is warranted to explore the intervention's effects across diverse pediatric populations and clinical scenarios.
Introduction:
Dyspnea associated with acute respiratory tract infections is a common cause of emergency admissions and can be distressing for children. This study aimed to evaluate the impact of a handheld fan intervention on physiological parameters in pediatric patients with dyspnea.
Methods:
A total of 59 children aged 2 to 12 years presenting to an emergency department for upper respiratory tract infection between March 2022 and March 2023 were assigned to the experimental group (n = 32) or control group (n = 27) by urn randomization. Both groups received the hospital's standard care, including 3 doses of inhaled bronchodilator at 20-minute intervals. The fan intervention consisted of parents applying a handheld electric fan to the child's face at a distance of 15 cm for 5 minutes after each inhaler treatment. Oxygen saturation, heart rate, and respiratory rate were recorded before treatment and after the 3 inhaler treatments.
Results:
There were no statistical differences in descriptive characteristics between the experimental and control groups (P > .05). Oxygen saturation values were significantly higher in the control group before treatment but showed greater increases in the intervention group after treatment (P < .001). The intervention group also exhibited greater reductions than the control group in both heart rate and respiratory rate after the third treatment than pretreatment values (P < .05).
Discussion:
The handheld fan intervention effectively supports inhaler treatment for children with dyspnea. Further studies are recommended to assess its impact across different age groups and clinical conditions.
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