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Revista mexicana de pediatría
Print version ISSN 0035-0052
Abstract
VASQUEZ-HOYOS, Pablo et al. Support therapy for severe acute bronchiolitis in a Pediatric Intensive Care Unit. Rev. mex. pediatr. [online]. 2020, vol.87, n.2, pp.58-64. Epub Sep 13, 2021. ISSN 0035-0052. https://doi.org/10.35366/94169.
Objective:
To describe the management of patients with bronchiolitis in a Pediatric Intensive Care Unit (PICU), where the recommendations of the evidence-based clinical practice guidelines (CPG) are used, in which support therapy is the basic treatment.
Material and methods:
Descriptive study of a consecutive sample of children who were admitted for acute bronchiolitis and treated in a PICU, between June 2016 and December 2017. Demographic information, clinical condition, risk factors, medical management and evolution were collected, until discharge of patients.
Results:
150 patients who met the selection criteria were identified. The median age was four months (IQR 2 - 9 months); 63.6% were men. A reduction in the use of medications in managing the PICU, compared to the previous management was observed. The use of invasive mechanical ventilation occurred in 18.2% (n = 27) and high-flow nasal cannulas in 76.8%. Bacterial co-infection was detected in 19.3%. Six patients died (4%).
Conclusion:
In patients with severe bronchiolitis the use of unnecessary medications is reduced when adhered to the CPG.
Keywords : Acute bronchiolitis; clinical practice guidelines; treatment; prognosis; infants.