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Approach to a Child with Lower Airway Obstruction and Bronchiolitis

  • Symposium on PGIMER Protocols on Respiratory Emergencies
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Abstract

Lower airway obstruction can occur at the level of trachea, bronchi or bronchioles. It is characterized clinically by wheeze and hyperinflated chest, apart from other signs of respiratory distress. Common causes include bronchiolitis, asthma, pneumonia, laryngotracheo-bronchitis, congenital malformations and foreign body inhalation. Bronchiolitis usually occurs in children aged 2 months to 2 years. It is most commonly caused by respiratory syncytial virus infection. The diagnosis is mainly clinical, and investigations have a very limited role. Humidified oxygen and supportive therapy are the mainstays of treatment. A trial of inhaled epinephrine or parenteral steroids may be considered for non-responders. It is usually associated with good outcome.

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Authors and Affiliations

  1. Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    Sudhanshu Grover, J. Mathew, Arun Bansal & Sunit C. Singhi

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  1. Sudhanshu Grover
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  2. J. Mathew
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  3. Arun Bansal
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  4. Sunit C. Singhi
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Correspondence to Sunit C. Singhi.

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Grover, S., Mathew, J., Bansal, A. et al. Approach to a Child with Lower Airway Obstruction and Bronchiolitis. Indian J Pediatr 78, 1396–1400 (2011). https://doi.org/10.1007/s12098-011-0492-z

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  • DOI: https://doi.org/10.1007/s12098-011-0492-z

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