Cardiff PICU
University Hospital of Wales
Heath Park
Cardiff
CF14 4XW
02920 747747

 

Last updated March 18, 2008 2:12 PM

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02920 745413

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babyBronchiolitis


Indication for intubation is based on clinical features rather than blood gas results.
Differential diagnosis includes immunodeficiency (FTT, diarrhoea, lymphopaenia, cystic fibrosis (FTT, diarrhoea), pertussis (marked lymphocytosis) and congenital heart disease (murmur, refractory hypoxia)
Antibiotics only if indicated by positive cultures or sepsis syndrome
NPA and NBL for all ventilated patients - samples sent for bacteriology, virology
NBL to look for Pneumocystis should be requested if there is a suspicion of immunodeficiency (e.g. lymphopaenia)
If the presentation was with apnoea, and RSV bronchiolitis is not confirmed, an LP should be performed (in the absence of contraindications)
Feed enterally as soon as possible