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Journal club

Journal club . Pooja Sachdev. Clinical case. 4 month old 2 day history of coryzal symptoms, decreased feeding and increased WOB this morning Bilateral wheeze and crepitation's on exam Diagnosis Bronchiolitis Supportive Management O2 Hydration. Background.

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Journal club

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  1. Journal club Pooja Sachdev

  2. Clinical case • 4 month old • 2 day history of coryzal symptoms, decreased feeding and increased WOB this morning • Bilateral wheeze and crepitation's on exam • Diagnosis • Bronchiolitis • Supportive Management • O2 • Hydration

  3. Background Leading cause of hospital admissions in the first year (21% in the USA). Mainstay of treatment is supportive. Fluid replacement required in 1 in 3 Nasogastric and intravenous hydration both used Potential advantages of NG feeding

  4. No trial has compared methods of hydration in infants admitted to hospital. Aim to compare the 2 methods in previously healthy infants admitted with bronchiolitis.

  5. Published online December 21, 2012

  6. PICO

  7. Methods Randomized trial in Australia and New Zealand 3 Bronchiolitis seasons (2009-2011) PREDICT Research Network 8 weeks-12 months Exclusion criteria

  8. Trial profile

  9. CASP Is the trial valid? What are the results? Will the results help locally?

  10. Are the results of the trial valid?

  11. Demographics and clinical features

  12. What are the results?

  13. Results

  14. Will the results help locally? Can the results be applied to the local population?

  15. Conclusion Both are appropriate means to hydrate infants with bronchiolitis. NG requires fewer attempts and has a higher success rate of insertion.

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