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Growing pressure onBMJ's obituaries Liz CrossanRichard Smith1995 год

Growing pressure on BMJ's obituaries
редакционная статья

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Аннотация: cases, which do not necessitate admission to hospital, will generally occur in babies aged 3 months or more, born at term, who are feeding well and whose respiratory rate is < 50 breaths/min.Moderate cases necessitate admission to hospital or at least management at home with small, frequent feeds and frequent observations.In these cases the babies are tachy- pnoeic (50-70 breaths/min), with only slight difficulty with feeds.In severe cases the babies are highly tachypnoeic (> 70 breaths/min) or have apnoea, do not feed well, and need urgent admission.Clinical predictors of severity are tachypnoea (>70 breaths/min), age less than 3 months, preterm delivery (particularly before 34 weeks), and an "ill" or "toxic" appearance.21Babies with difficulty in feeding or apnoea should be admitted, and it is probably wise to admit babies with underlying heart, lung, or immune problems who develop bronchiolitis.Cyanosis is a late and sinister sign.Pulse oximetry, if available, is the best predictor of the severity of the disease and need for oxygen.2122Given its valuable role in assessing children with bronchiolitis and, to a lesser extent, other respiratory diseases, general practitioners should strongly consider buying a pulse oximeter.The mortality associated with bronchiolitis is low, but babies can deteriorate rapidly and clinical skills are necessary to reduce the mortality and morbidity still further.
Год издания: 1995
Авторы: Liz Crossan, Richard Smith
Издательство: BMJ
Источник: BMJ
Ключевые слова: Health and Conflict Studies, Healthcare Systems and Challenges, Child and Adolescent Health
Другие ссылки: BMJ (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
PubMed (HTML)