Thursday, May 18, 2017

- Hospital and PICU admission criteria in cases of acute bronchiolitis.

Hospital and PICU admission criteria in cases of acute bronchiolitis.
Hospital Admission Criteria:
  • Hypoxemia <90% on room air
  • Dehydration with inability to maintain hydration
  • Major comorbidity
  • Need to rule out alternative diagnosis
  • heart rate >180 bpm
  • Moderate to Severe distress
  • Inability to care for child at home.
  • Strongly consider in infants with high-risk criteria:
- LBW
- age <6 wk,
- Prematurity
- Cardiac (Pulmonary hypertension,heart failure or cyanotic heart disease) .
- Pulmonary disease (BPD, cystic fibrosis or congenital anomalies of airway)
- Immunodeficiency
- neuromuscular disease
Critical care admission criteria:
  • Recurrent apneas
  • Concern regarding impending respiratory failure, increasing oxygen requirements
  • High risk criteria…

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