Bronchiolitis
Conditions
Brief summary
In this multi-centre randomized controlled trial the investigators compare the effect on dyspnoea severity of oxgen delivery through High Flow Nasal cannula with Low Flow Nasal Prongs in children \< 2 years of age hospitalised for bronchiolitis with moderate-severe dyspnoea.
Detailed description
In this multi-centre randomized controlled trial the investigators compare the effect on dyspnoea severity of oxgen delivery through High Flow Nasal Cannula with Low Flow Nasal Prongs in children \< 2 years of age hospitalised for bronchiolitis with moderate-severe dyspnoea. The study will take place on the pediatric (Non intensive care) units of 5 different hospitals in the Netherlands.
Interventions
Oxygen delivery through Heated Humidified High Flow Nasal Cannula
Oxygen delivery through Low Flow Nasal Prongs
Sponsors
Study design
Eligibility
Inclusion criteria
* bronchiolitis PEWS (Pediatric Early Warning Score 0-28) \>= 6 oxygen saturation \< 92%
Exclusion criteria
* chronic lung disease hemodynamic significant heart disease syndromal disease facial abnormalities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PEWS (Pediatric Early Warning Score) (in points 0-28) | 24 hours | Sustained reduction in PEWS \>= 2 points within 24 hours (min 0- max 28 points) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comfort (in points 0-10) | 24 hours | (FLACC: Face, Legs, Activity, Cry, Consolability, min 0- max 10 points) |
| ability to feed (yes or no) | 5 days | need for tubefeeding and/or intravenous fluids |
| duration of hospitalisation in days | 15 days | duration of hospitalisation in days |
| admission to PICU (Pediatric Intensive Care Unit) (yes or no) | 5 days | — |
Countries
Netherlands