Viral Bronchiolitis
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An acute inflammatory disease of the lower RESPIRATORY TRACT, caused by paramyxoviruses, occurring primarily in infants and young children; the viruses most commonly implicated are PARAINFLUENZA VIRUS TYPE 3; RESPIRATORY SYNCYTIAL VIRUS, HUMAN; and METAPNEUMOVIRUS.

www.nlm.nih.gov/cgi/mesh/...

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Jan 27, 2013
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Distinction between bronchiolitis and asthma is somewhat arbitrary.
Bronchiolitis is generally described in patients under 1yr of age, and doesn't respond to bronchodilators.
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Jan 27, 2013
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If a child comes with with bronchiolitis and they require escalated respiratory support eg nasal CPAP, intubation, HFOV, a procalcitonin level may help distinguish viral bronchiolitis from bacterial pneumonia

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Jul 07, 2013
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Nebulised salbutamol may help improve work of breathing, even in the absence of wheeze.

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Mar 08, 2013
RCH Guidelines suggest otherwise.
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For short interhospital transfers of patients with bronchiolitis, deescalating temporarily from high flow oxygen (if it cannot be done in the ambulance) to low flow nasal prong oxygen may be appropriate.

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Jul 26, 2013
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Royal Children's Hospital Melbourne guideline on bronchiolitis.

www.rch.org.au/clinicalgu...

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