Asthma exacerbation, acute asthma, viral wheeze, bronchial hyperreactivity, bronchoconstriction Asthma attack
Conditions
Interventions
The intervention under investigation is the nurse-led CAS O2 protocol. This protocol supports nursing staff in determining whether a child requires bronchodilator therapy and in establishing the appro
Sponsors
Spaarne Gasthuis
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: Children aged 2-18 years old, admitted to the paediatric ward with acute reversible bronchoconstriction exacerbations due to acute asthma- and viral wheeze exacerbations, reversible bronchial hyper reactivity or reversible bronchoconstriction with- or without additional lower airway infection. This includes children referred from paediatric intensive care which have been treated for the very severe phase of the bronchoconstriction attack and are now further treated on the paediatric ward. Informed consent obtained.
Exclusion criteria
Exclusion criteria: Need for other care requiring continuous physician supervision, making treatment via the nurse-led pathway impossibleNear-fatal asthma or viral wheeze, previously treated with resuscitation, mechanical ventilation, or ECMOChronic or congenital pulmonary disorders other than asthma or recurrent viral wheezeNeurological, muscular, or other severe disorders that make treatment via the nurse-led pathway impossible (e.g., psychomotor retardation, Down syndrome, hemodynamically significant cardiac disease)Physician judgment that the patient cannot be treated via the nurse-led pathway
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from the moment the treating physician has concluded that the initiated treatment in the emergency ward is effective and considers the patient sufficiently stable to allow continuation of care on the general paediatric wardtoFor three hours no bronchodilators have been administered andIn the next 6 hours, no interval between bronchodilators was less than 3 hours, or the patient has been discharged | — |
Secondary
| Measure | Time frame |
|---|---|
| The quality of treatment: Effectiveness of the treatmentSafety of the treatmentBurden on patient and parents Empowerment of patient and parentsCost-effectiveness from patient/family, healthcare system, and societal perspectives. | — |
Countries
Netherlands
Contacts
Public ContactH. Huijgen-Polhoud
Spaarne Gasthuis
Outcome results
None listed