December 2011. Volume 7. Number 4

CPAP may be the type of respiratory support of choice in moderate-severe bronchiolitis

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Donlan M, Fontela PS, Puligandla PS. Use of continuous positive airway pressure (CPAP) in acute viral bronchiolitis: a systematic review. Pediatr Pulmonol. 2011;46:736-46.
Reviewers: Orejón de Luna G1, González de Dios J2.
1CS General Ricardos. Madrid. España.
2Departamento de Pediatría. Hospital General Universitario de Alicante. España.
Correspondence: Gloria Orejón de Luna. Email: gloriaglo04@gmail.com
Reception date: 09/11/2011
Acceptance date: 14/11/2011
Publication date: 23/11/2011

Abstract

Authors' conclusions: the evidence supporting the use of continuous positive airway pressure (CPAP) or CPAP-heliox to reduce partial pressure of carbon dioxide and respiratory distress in bronchiolitis is of low methodological quality, and there is no conclusive evidence that CPAP reduces the need for intubation.

Reviewers' commentary: although the quality of evidence is low, CPAP (alone or heliox) may be recommend as a first step of respiratory support in selected patients with bronchiolitis. Research using higher quality methodology, with higher sample sizes, longer period of monitoring and clinical variables of interest is needed to clarify the beneficial role of these interventions.

How to cite this article

Orejón de Luna G, González de Dios J. La CPAP puede ser la modalidad de soporte respiratorio de elección en la bronquiolitis moderada-grave. Evid Pediatr. 2011;7:96.

AVC | Critically appraised articles

Donlan M, Fontela PS, Puligandla PS. Use of continuous positive airway pressure (CPAP) in acute viral bronchiolitis: a systematic review. Pediatr Pulmonol. 2011;46:736-46.
Reviewers: Orejón de Luna G1, González de Dios J2.
1CS General Ricardos. Madrid. España.
2Departamento de Pediatría. Hospital General Universitario de Alicante. España.
Correspondence: Gloria Orejón de Luna. Email: gloriaglo04@gmail.com
Reception date: 09/11/2011
Acceptance date: 14/11/2011
Publication date: 23/11/2011

How to cite this article

Orejón de Luna G, González de Dios J. La CPAP puede ser la modalidad de soporte respiratorio de elección en la bronquiolitis moderada-grave. Evid Pediatr. 2011;7:96.

References

  1. González de Dios J, Ochoa Sangrador C. Grupo de revisión y panel de expertos de la Conferencia de Consenso del Proyecto aBREVIADo (BRonquiolitis-Estudio de Variabilidad, Idoneidad y ADecuación). Conferencia de Consenso sobre bronquiolitis aguda (I): metodología y recomendaciones. An Pediatr (Barc). 2010;72:221.e1-221.e33.
  2. González de Dios J, Ochoa Sangrador C. Grupo de revisión y panel de expertos de la Conferencia de Consenso del Proyecto aBREVIADo (BRonquiolitis-Estudio de Variabilidad, Idoneidad y ADecuación). Conferencia de Consenso sobre bronquiolitis aguda (IV): tratamiento de la bronquiolitis aguda. Revisión de la evidencia científica. An Pediatr (Barc). 2010;72:285.e1-285.e42.
  3. Question 3: Is continuous positive airway pressure effective in bronchiolitis? Arch Dis Child. 2009:324-6.
  4. Grrenough A. Role of ventilation in RSV disease: CPAP, ventilation, HFO, ECMO. Paediatr Respir Rev. 2009; 10 Suppl 1:26-8.
23/11/2011

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