Bronchiolitis Clinical Trial
Official title:
HHOT AIR Study (a Pilot Study): Heated Humidified Oxygen Therapy Compared to Standard Dry Oxygen: An Assessment in Infants With bRonchiolitis
The purpose of this study is to compare heat and humidified oxygen with cold and dry oxygen
in children with bronchiolitis.
The hypotheses are that heating and humidifying inspired low flow supplemental oxygen will
optimize mucociliary function thereby, 1) improve oxygenation, 2) decrease work of breathing,
and 3) decrease length of hospital stay.
Bronchiolitis is the leading cause of acute respiratory illness and hospitalization in
infants and young children. The mainstay of treatment is supportive care, which includes
frequent nasal suctioning, intravenous fluid hydration, and supplemental oxygen for
hypoxemia.
The airways normally heat and humidify inspired ambient air to core temperature amd 100%
relative humidity at the carina. This environment, at core temperature, allows for optimal
mucociliary clearance. Supplemental oxygen delivered via wall source is cold and dry, and
does not reach core temperature and 100% humidity until some point distal to the carina, past
the main bronchi. This presses on the lower respiratory tract to assist in heat and moisture
exchange and thus decrease ciliary function. This, in combination with bronchiolitis, can
impair mucociliary clearance.
Specific aim 1: Determine the effect of heated and humidified oxygen therapy on clinical
improvement in children with bronchiolitis, based on Respiratory Distress Assessment
Instrument (RDAI) and respiratory rate (RR).
Specific aim 2: Determine the effect of heated and humidified oxygen therapy on length of
hospital stay and duration of supplemental oxygen requirement in children with bronchiolitis.
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