Skip to main content

Bronchiolitis, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

Lower respiratory tract infection by airway inflammation and bronchoconstriction with wheezes/tachypnea and respiratory distress and upper respiratory prodrome 

Etiology

  • Respiratory sy...

Diagnosis

Signs and Symptoms

  • Age <2 yr (usually 1 yr or younger)

  • Nasal congestion, often with marked rhinorrhea

  • Cough, sometimes associated with vomiting

  • Wheezing

  • Crackles, rhonchi

  • Respiratory distress m...

Treatment

Pre-Hospital

  • Young infants have limited respiratory reserve and decompensate rapidly with little warning.

  • Monitor cardiorespiratory status and oxygenation.

  • Supplemental oxygen if saturation ...

Follow-Up

Disposition

Admission Criteria

  • Need for supplemental oxygen (oxygen saturation on room air is <90–92% at sea level)

    • Some institutions have developed protocols that allow full-term, stable ch...

Pearls and Pitfalls

Infants with bronchiolitis often present with respiratory distress associated with hypoxia, dehydration, and/or apnea. Aggressive monitoring may be warranted. 

Additional Reading

  • American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics.  2006;118:1774–1793.

  • Corneli  HM...

Codes

ICD9

  • 466.1 Acute bronchiolitis

  • 466.11 Acute bronchiolitis due to respiratory syncytial virus (RSV)

  • 466.19 Acute bronchiolitis due to other infectious organisms

ICD10

  • J21.0 Acute bronchiolitis due to ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×