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- TABLE 1
Excerpts Addressing Illness Severity Within Recommendations from the American Academy of Pediatrics’ Clinical Practice Guideline for Routine Bronchiolitis
Recommendation Intervention or Test Quote Related to Severe Illness Page 1c Chest radiograph “Initial radiography should be reserved for cases…severe enough to warrant ICU admission…” e1479 2 Albuterol “Children with severe disease or…respiratory failure were generally excluded…and this evidence cannot be generalized to these situations” e1481 3 Racemic epinephrine “This evidence suggests epinephrine should not be used in children hospitalized for bronchiolitis, except potentially as a rescue agent in severe disease…” e1481 4b Hypertonic saline “It has not been studied in intensive care settings, and most trials have included only patients with mild to moderate disease” e1483 8 Antibiotics “…it may be difficult to distinguish between atelectasis and bacterial infiltrate or consolidation…Antibiotic therapy may be justified in some children with bronchiolitis who require intubation and mechanical ventilation for respiratory failure” e1486
In this issue
Promoting High-Value Care During Hospitalist and Intensivist Comanagement in the Care of the Deteriorating Child With Bronchiolitis
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