• Med. J. Malaysia · Dec 1999

    Respiratory failure requiring ventilation in acute bronchiolitis.

    • P W Chan, A Y Goh, and L C Lum.
    • Department of Paediatrics, University Malaya Medical Centre, Kuala Lumpur.
    • Med. J. Malaysia. 1999 Dec 1;54(4):487-91.

    AbstractSevere bronchiolitis requiring mechanical ventilation is uncommon and is associated with the risk of barotrauma. We report our experience with 25 (42%) of 60 infants admitted to the Paediatric Intensive Care Unit (PICU) with severe bronchiolitis who required mechanical ventilation. Eighteen patients (72%) had severe hypoxaemia (PaO2/FiO2 < 250). The mean airway pressure required ranged from 5.8 to 15.6 cmH2O with median ventilation duration of 4.0 days (range 2.0-14.0 days). Oxygenation improved significantly within 12 hours of intubation. There was only one death. Mechanical ventilation is required in a subset of patients for severe bronchiolitis and is effective and generally well tolerated.

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