Bronchiolitis
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