Bronchiolitis Clinical Trial
Official title:
IMLEMENTATION OF High Flow Nasal Cannulae Therapy FOR THE TREATMENT OF BRONCHIOLITIS IN A GENERAL PEDIATRIC WARD - A RETROSPECTIVE AND PROSPECTIVE CLINICAL TRIAL
Bronchiolitis is an acute lower airway infection caused by a viral infection. It is a major cause of winter admissions to pediatric wards. Accepted therapies include oxygen support and IV fluids, whereas other supportive therapies such as inhalations are of questionable benefit. Moderate to severe cases are a source of distress to patient, parents and medical staff often necessitating Pediatric Intensive Care Unit admission. Heated Humidified High Flow Nasal Cannula (HHHFNC) therapy has been shown lately to improve the work of breathing, oxygen saturation, and CO2 pressure (PCO2) values as well as decrease PICU admissions and intubation rates. We planned a prospective and retrospective study in order to check the feasibility of using HHHFNC in a primary pediatric ward and its effect on clinical well being, respiratory status and PICU admission.
Supportive Care, Single Group Assignment, Open Label, Non-Randomized, Efficacy Study
The research is devised as follows:
Prospective section: We will enroll children 0-2 years old, diagnosed with Bronchiolitis in
our ward (Pediatrics C) during the months of November-March 2014-2016. Children will be
evaluated according to a Bronchiolitis Severity Score devised by Wang and Co which was
successfully used in previous research. Children answering criteria for moderate or severe
Bronchiolitis according to Wang and Co. will be enrolled pending written consent by both
parents.
Our prediction is to enroll a total of 200 children during the 2 winter seasons during
2014-2016.
Retrospective section: We will examine up to 200 cases of children aged 0-2 years
hospitalized due to Bronchiolitis in Pediatrics C during 2014-2016 which were not enrolled
in our research (due to lack of consent/unavailable HHHFNC etc.). We will compare clinical
data and vital parameters between the groups treated with HHHFNC and those who were not.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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