High-Flow Nasal Cannula and Aerosolized β Agonists for Rescue Therapy in Children With Bronchiolitis: A Case Series

Sherwin E Morgan, Steve Mosakowski, Patti Solano, Jesse B Hall, Avery Tung, Sherwin E Morgan, Steve Mosakowski, Patti Solano, Jesse B Hall, Avery Tung

Abstract

Asthma and bronchiolitis are episodic obstructive pulmonary diseases characterized by bronchoconstriction, airway wall inflammation, increased mucus production, and air-flow obstruction. We present the cases of 5 infants treated for acute bronchiolitis with respiratory distress using a combination of high-flow nasal cannula oxygen (HFNC) and an Aerogen nebulizer to deliver aerosolized β-agonist therapy. In all infants, we found that HFNC resulted in a greater heart rate increase than delivery via a facemask. We also found that patients tolerated inhaled therapy better with HFNC than a facemask.

Keywords: HFNC; asthma; bronchiolitis; high-flow nasal cannula; β agonists.

Copyright © 2015 by Daedalus Enterprises.

Source: PubMed

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