To study the efficacy of non-invasive ventilation in severe bronchiolitis
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 2
Abstract
Objectives: Bronchiolitis is the most common lower respiratory tract infection in infancy and about 6-15% of patients of acute bronchiolitis require ventilatory support. Non Invasive Ventilation by increasing Mean Airway Pressure reduces airway resistance and recruits non-functional respiratory units to improve oxygenation. The objective of this study is to determine the effectiveness of Non Invasive Ventilation in patients of severe acute bronchiolitis. Methods: The present observational descriptive study was conducted in the department of Paediatrics, Dr. B.C. Roy Post Graduate Institute of Paediatric sciences, Kolkata, India. Those patients fulfilling the criteria for severe Acute Bronchiolitis according to Bronchiolitis Scoring System were included in this study. 76 patients were studied during the 1 year period from April 2014 to March 2015. Results: A success rate of 72.4% has been observed in this study. Mean duration of Non Invasive Ventilation in patients where it was successful was 32.5±15.3 hours. Abnormalities in pH and PCO2 improved over a period of 6 hours. Conclusion: Non Invasive Ventilation was found effective in 72.4% of patients of severe bronchiolitis. Abnormalities in pH & PCO2 were also improved over 6 hours. Thus, it is an effective, safe and cost effective modality of treatment of severe bronchiolitis.
Authors and Affiliations
P. Thiyagarajan, M. Bala Gopal, Sanat Kumar Ghosh, Mihir Sarkar
Keywords
Related Articles
- EP ID EP276953
- DOI 10.17511/ijpr.2017.02.03
- Views 134
- Downloads 0
Study of clinical profile of vitamin-a deficiency in malnourished children visiting a medical college hospital
Introduction: Vitamin A deficiency (VAD) disorders exist as a public health nutrition problem among preschool-aged children in 118 developing countries worldwide, with the South-East Asian Region harboring the maximum nu...
Early predictors of significant hyper bilirubinemia in ABO incompatible newborns
ABO incompatibility have been singularly reported to be strong risk factors in the development of significant hyper bilirubinemia in newborns but usually a combination of these are seen to co-exist in the clinical scenar...
Psychological distress in mothers of infants admitted in neonatal intensive care unit (NICU)
Introduction: Mothers whose infants are admitted to NICU undergo significant distress which can interfere with mother infant bonding. Materials & Methods: Mothers belonging to two groups: Group 1 –(clinical) 30 mothers o...
Interpretation of low birth weight babies by anthropometric measurements in South India
Introduction: Low birth weight is seen most commonly in developing countries. In India majority of births are conducted at home by the Traditional Birth Attendants (TBA) or relatives, where the estimation of birth weight...
Clinical profile and outcome of septic shock in children admitted to a tertiary care referral hospital
Background: There is dearth of studies on detailed clinical profile and outcome of pediatric septic shock in India. Objective: To describe clinical profile and outcome of septic shock in children. Methods: This retrospec...