Updates In Bronchiolitis 23 2 2010 Dr Humaid

UPDATES IN BRON CHIOLITIS HUMAID AL HINAI

Overview ,[object Object],[object Object],[object Object],[object Object]

DEFINITION ,[object Object],[object Object],The definition for most clinical studies

CAUSEs ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Human metapneumovirus (HMPV)

[object Object],[object Object],[object Object],Bronchiolitis: Recent Evidence on Diagnosis and Management Joseph J. Zorc and Caroline Breese Hall Pediatrics 2010;125;342-349; originally published online Jan 25, 2010; DOI: 10.1542/peds.2009-2092

Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLINICAL FEATURES ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

,[object Object],[object Object],[object Object],[object Object],[object Object]

Physical examination ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],(AAP) : American Academy of Pediatrics

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evaluation ,[object Object],[object Object]

Radiographs ,[object Object],[object Object]

Indications of Radiographs ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Swingler , GH, Hussey, GD, Zwarenstein , M . Randomised controlled trial of clinical outcome after chest radiograph in ambulatory acute lower - respiratory infection in children . Lancet 1998; 351:404 .

Diagnosis ,[object Object],[object Object]

[object Object],[object Object],[object Object]

DD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for hospitalization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Respiratory support ,[object Object],[object Object],[object Object],[object Object]

Fluid administration ,[object Object],[object Object],[object Object]

Chest physiotherapy ,[object Object],[object Object]

PHARMACOLOGIC THERAPY ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Patel, H, Gouin, S, Platt, RW . Randomized, double - blind, placebo - controlled trial of oral albuterol in infants with mild - to - moderate acute viral bronchiolitis . J Pediatr 2003; 142:509 .

[object Object],[object Object],[object Object],[object Object],Cade, A, Brownlee, KG, Conway, SP, et al . Randomised placebo controlled trial of nebulised corticosteroids in acute respiratory syncytial viral bronchiolitis . Arch Dis Child 2000; 82:126 .

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],N Engl J Med . 2009 May 14;360(20):2079-89. Epinephrine and dexamethasone in children with bronchiolitis. Pediatric Emergency Research Canada (PERC)

Treatment ,[object Object],[object Object],N Engl J Med . 2009 May 14;360(20):2079-89. Epinephrine and dexamethasone in children with bronchiolitis. Pediatric Emergency Research Canada (PERC)

,[object Object],[object Object],[object Object],[object Object],[object Object],Nonstandard therapies

CONCLUSIONS : Montelukast did not improve the clinical course in acute bronchiolitis . No significant effect of montelukast on the T - helper 2 / T - helper 1 cytokine ratio when given in the early acute phase could be demonstrated .

Bronchiolitis: Recent Evidence on Diagnosis and Management Joseph J. Zorc and Caroline Breese Hall Pediatrics 2010;125;342-349; originally published online Jan 25, 2010; DOI: 10.1542/peds.2009-2092

DISCHARGE CRITERIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object]

Take Home Ms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

REFRENCES ,[object Object],[object Object],[object Object]

Updates In Bronchiolitis 23 2 2010 Dr Humaid

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