Health Condition 1: J219- Acute bronchiolitis, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All children aged one-month (corrected) to 23-month with clinical diagnosis of moderate to severe bronchiolitis [Bronchiolitis will be defined as respiratory distress with wheezing or crackles on auscultation and modified Wood’s clinical asthma score =4]
Exclusion criteria
Exclusion criteria: 1. Children who are in need of imminent mechanical ventilator support. 2. Children with suspected / known heart disease. 3. Children with suspected / known chronic lung disease. 4. Children with suspected / known diagnosis of neuromuscular disease. 5. Children hospitalized for respiratory illness in last one-month period. 6. Children with facial malformations. 7. Children with severe malnutrition [weight for age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the success rates of high flow nasal cannula and indigenous nasal prong continuous positive airway pressure in the management of children with moderate to severe bronchiolitis within 24-hours of randomization.Timepoint: 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 5. To compare the factor(s) associated with failure.Timepoint: 24 hours and hospital stay;6. To compare the serious adverse events (air leak syndrome, apnea, death).Timepoint: 24 hours and hospital stay;1. To compare the success rate after cross over of the intervention(s).Timepoint: 24 hours and Hospital Stay;2. To compare the need for mechanical ventilation (non-invasive or invasive).Timepoint: 24 hours and hospital stay;3. To compare the local skin lesions associated with application of interface. (skin lesion will be assessed as per “National Pressure Ulcer Advisory Panel definitions ?)Timepoint: 24 hours and hospital stay;4. To compare the length of hospital stay including pediatric intensive care unit stay.Timepoint: 24 hours and hospital stay | — |
Countries
India
Contacts
JIPMER