Bronchiolitis Dr M Tariq Consultant Paediatrician with Respiratory Interest.

Slides:

Advertisements

Similar presentations

The Wheezing Child: assessment, treatment and referral

Advertisements

Fever in paediatrics Dr Ehsan Ahmed (Consultant Paediatrician

Respiratory Care in Children Better Care for Better Outcomes Dr Duncan Keeley GP Thame Thames Valley Strategic Clinical Network.

LisaFernTraffordCCNT/ PCT Education Forum TRAFFORD CHILDREN’S COMMUNITY NURSING TEAM.

Discharged on Supplemental Oxygen from an Emergency Department in Patients with Bronchiolitis. S Halstead, G Roosevelt, S Deakyne, L Bajaj Pediatrics Vol.

26/04/2015 Choose Well 2013/14. 26/04/2015 Choose Well When You’re Unwell.

Febrile Illness in Children. Aims of NICE? Guidelines for individual conditions Generalized guideline for unwell child Patient centered Take on board.

Chapter3 Problems of the neonate and young infant - Neonatal resuscitation.

Doug Simkiss Associate Professor of Child Health Warwick Medical School Management of sick neonates.

Recognizing the Seriously Ill Child Chiropractic Pediatrics, Ch. 4 N. Davies.

Recognition and management of the seriously ill child Dr Esyld Watson Consultant in Adult and Paediatric Emergency Medicine.

Pneumonia in children including SARS Winnie Chu The Chinese University of Hong Kong Department of Diagnostic Radiology and Organ Imaging Prince of Wales.

Dr. Simon Benson GP Specialist Trainee. Introduction Diagnosis of pneumonia in children with wheeze is difficult Limited data exists regarding predictors.

Identifying COPD in primary care: targeting patients at the highest risk What is COPD? Chronic obstructive pulmonary disease or COPD is a long-term inflammatory.

Acute severe asthma.

Managing acute exacerbations of COPD in primary care.

Resident Report Bronchiectasis Irreversibly dilated peripheral airways secondary to chronic inflammation from a variety of causes Pathogenesis.

Copyright restrictions may apply JAMA Pediatrics Journal Club Slides: Nebulized Hypertonic Saline for Bronchiolitis Florin TA, Shaw KN, Kittick M, Yakscoe.

Antibiotic Use in URTI Gary Kroukamp ENT Specialist Kingsbury Hospital.

Copyright restrictions may apply A Randomized Trial of Nebulized 3% Hypertonic Saline With Epinephrine in the Treatment of Acute Bronchiolitis in the Emergency.

H1N1 General Information Update Karen Dahl, MD Pediatric Infectious Diseases.

Acute Respiratory Disorders in Children

6 th May 2014 Dr. James Paton University of Glasgow, Clinical Audit Lead, RCPCH NRAD and Children What the Report Means for Paediatric Care.

Chapter 3 Problems of the neonate Low birth weight babies.

Palivizumab: a centralised clinic Laura Marshall RCN Conference 13 th March 2008.

Oral Dexamethasone for Bronchiolitis: A randomized Trial Journal club 20/2/14 Alansari K et al. Oral dexamethasone for bronchiolitis: a randomised trial.

Insert Program or Hospital Logo Introduction The Respiratory Syncytial virus (RSV) was discovered in 1956 and has been since recognized as one of the most.

Special care of preterm babies

Dr Sebastian Yuen Dr Gopal Krishana Singh.  BTS started paediatric asthma audit in 1998  Information collected  Walsall Manor data This Year (2010)Last.

RSV RT 265. Respiratory Syncytial Virus Manifests primarily as: Bronchiolitis Bronchiolitis Viral pneumonia Viral pneumonia Leading cause of lower respiratory.

MANAGEMENT FOR PAEDIATRIC PATIENT UNDER INVESTIGATION (PUI) WITH INFLUENZA-LIKE ILLNESS (ILI) IN OUTPATIENT SETTING CM CHOO HSAH 2013.

Q13: Bronchiolitis Simon Craig. 3 parts Table – clinical severity List of risk factors for severe complications Indications for a chest x-ray.

Pneumonia Name Dr J Mackintosh & Dr J Thurlow Date 18/11/2014

July 29, Most common pathogen causing lower airway disease in infants and toddlers 90,000 hospitalizations/year $700 million/year for children.

RESPIRATORY PAEDIATRICS Dr Pamela Lewis. 6yr Male Emergency Department Sudden onset wheeze and DIB Preceding URTI Atopic Interval symptoms.

 20 month old male who presents to the emergency department with a chief complaint of cough.  Two days ago he developed rhinorrhea, fever, a hoarse.

Seasonal/Winter Illness Focusing On Acute Winter Illness In Children Dr Shane Campbell Paediatric Anaesthetist PICU & Paediatric Retrieval, Glasgow 5 th.

1 Vaccines Contraindications. Contraindications to any routine active immunization procedure An acute febrile illness, malaise, cough, diarrhea, or other.

Guideline for Metropolitan Paediatric Wards & Emergency Departments 1st edition Humidified High Flow Nasal Cannula Oxygen.

Bronchiolitis Abdullah M. Al-Olayan MBBS, SBP, ABP. Assistant Professor of Pediatrics. Pediatric Pulmonologist.

AUGUST 6, 2010 Morning Report. Pneumonia Risk Factors  Cold months  Cigarette or wood stove smoke  Low socioeconomic status  Boys  Underlying.

بسم الله الرحمن الرحيم. BronchiolitisBronchiolitis By Hana ’ a M.N. Tashkandi.

National Clinical Programme for Paediatrics and Neonatology Emergency Medicine Conference 10 th February 2016.

Respiratory problems in children-When to take a symptom seriously Edward Snelson Consultant – Sheffield Children’s Hospital Foundation Trust.

Find out more online: Improving the quality of respiratory care Dr Felix Blaine.

Recognising the Sick Child. Why Teach Recognition of the Sick Child? Failure of Recognition of Serious Illness is a significant cause of preventable mortality.

Antibiotics on the postnatal ward A n audit and cost-analysis of current practices Dr Rachel Hayward & Dr Sybil Barr UHW Neonatal Unit.

BRONCHIOLITIS Dr Jonny Taitz, FRACP Geschn Paediatrician Sept 2003.

Bronchiolitis in Children Prof. Dr. Saad S Al Ani Senior Pediatric Consultant Head of Pediatric Department Khorfakkan Hospital Sharjah, UAE

RESPIRATORY DISTRESS SYNDROME IN NEONATES

Transient Tachypnea of newborn Wet lung; RDSII (TTN)

Managing acute exacerbations of COPD in primary care.

Evaluation and Treatment of Children with Bronchiolitis in the Emergency Department Suspected bronchiolitis: Otherwise healthy child < 24 months of age.

RSTH 421 PEDIATRIC PERINATAL RESPIRATORY CARE

Acute respiratory infections (ARI)

DEFINITION Respiratory problem in premature babies

Bronchopulmonary Dysplasia: a challenge for the clinician

Evaluation and Treatment of Children with Bronchiolitis in the Emergency Department Suspected bronchiolitis: Otherwise healthy child < 24 months of age.

Paula Chilvers GPST2 November 2017

Dr F Hignett, September 2015 ST4 Paediatrics

PCP: Clinical Presentation

PCP: Clinical Presentation

Dr Immaculate Kariuki Consultant Paediatrician Nairobi, Kenya

Assess at time of 10 minute APGAR

Chapter 5 Diarrhoea Case I

Paediatric monitoring and response chart. Hospital:. Name:. Age:

Chapter 4 Cough or difficult breathing Case I

Respiratory illness in children

City and Hackney Bronchiolitis Pathway

Shortness of breath & the child with wheeze

Presentation transcript:

Bronchiolitis Dr M Tariq Consultant Paediatrician with Respiratory Interest.

Call associate specialist on: 07*** *** ***

Observed or reported apnoea Child looks seriously unwell Respiratory distress with RR>70, nasal flaring, grunting, severe chest wall recession Central cyanosis Persistent oxygen sats less than 92% If feeding <50% of feeds and /or clinical dehydration-ask for wet nappies Always check for an ability to re attend if the child deteriorates REFER TO SECONDARY CARE

Chronic lung disease Congenital heart disease Prematurity Neuromuscular disorders Immunodeficiency Male sex Not breast feeding Smokers at home RISK FACTORS

Treatment in primary care: 0.9% saline nasal drops Advise on small and frequent feeds Reassurance –self limiting nature of illness In secondary care: Oxygen and respiratory support if sats <94% and severe respiratory distress Trial of bronchodilators-controversial Hypertonic saline nebulisers CXR and antibiotics are not indicated in bronchiolitis unless atypical presentation TREATMENT

NHS 111 (Available 24/7) Walsall Manor Hospital Paediatric Assessment Unit (Available 24/7): 07*** *** ***