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BET 1. NEBULISED HYPERTONIC SALINE SIGNIFICANTLY DECREASES LENGTH OF HOSPITAL STAY AND REDUCES SYMPTOMS IN CHILDREN WITH BRONCHIOLITIS

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Report by: Daniel Horner, ST3 Emergency Medicine/Critical Care

Search checked by: Rachel Jenner, Paediatric Emergency Medicine Consultant

Institution: Booth Hall Childrens Hospital, Manchester, UK

A short-cut review was carried out to establish whether nebulised hypertonic saline reduces length of stay and symptoms in children with bronchiolitis. One Cochrane review was found, which addressed this question. This review is summarised. The clinical bottom line is that nebulised hypertonic saline does reduce length of stay and symptoms in children with bronchiolitis.

THREE-PART QUESTION

In [children <2yrs with acute viral bronchiolitis] does [regular administration of nebulised hypertonic saline] lead to reduction in [mortality/morbidity rates or length of hospital stay]

CLINICAL SCENARIO

A 3-month-old books in to the emergency department with a 4-day history of a coryzal illness followed by breathing difficulties and decreased oral intake. It is December. Inwardly, you sigh …

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