High-Flow Nasal Cannula and Aerosolized β Agonists for Rescue Therapy in Children With Bronchiolitis: A Case Series

被引:32
作者
Morgan, Sherwin E. [1 ]
Mosakowski, Steve [1 ]
Solano, Patti [1 ]
Hall, Jesse B. [2 ]
Tung, Avery [3 ]
机构
[1] Univ Chicago, Dept Resp Care, Chicago, IL 60637 USA
[2] Univ Chicago, Dept Med, Sect Pulm & Crit Care Med, Chicago, IL 60637 USA
[3] Univ Chicago, Dept Anesthesia & Crit Care, Chicago, IL 60637 USA
关键词
asthma; bronchiolitis; beta agonists; HFNC; high-flow nasal cannula; DRUG-DELIVERY; INFANTS; DIAGNOSIS; SIZE;
D O I
10.4187/respcare.03996
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Asthma and bronchiolitis are episodic obstructive pulmonary diseases characterized by broncho-constriction, airway wall inflammation, increased mucus production, and air-flow obstruction. We present the cases of 5 infants treated for acute bronchiolitis with respiratory distress using a combination of high-flow nasal cannula oxygen (HFNC) and an Aerogen nebulizer to deliver aerosolized beta-agonist therapy. In all infants, we found that HFNC resulted in a greater heart rate increase than delivery via a facemask. We also found that patients tolerated inhaled therapy better with HFNC than a facemask. (c) 2015 Daedalus Enterprises
引用
收藏
页码:E161 / E165
页数:5
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