Title: Effects of Nasal Suction on Outcome of Bronchiolitis
Authors: Dr Karan Joshi, Dr Akhilendra Singh Parihar, Dr Jyoti Singh, Dr Naresh Bajaj
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.17
Abstract
Objective: To study the effects of nasal suction on infants with bronchiolitis
Design: Prospective randomized control study
Setting: Department of paediatrics Shyam Shah Medical College and Gandhi Memorial Hospital, Rewa (MP)
Participants: 75 patients in study group and 75 patients in control group.
Main Outcome Measure(s): Length of hospital stay and change in acute bronchiolitis severity score in infants with bronchiolitis.
Results: The overall length of hospital stay in the patients suffering from bronchiolitis was 136.1± 38.7 hours. The average length of hospital stay in the study-group was 129.89± 40.66 hours. The average length of hospital stay in the control-group was 142.31± 35.84 hours. There was a significant decrease in the respiratory rate after two nasal suction episodes onwards in the infants. Feeding also showed significant improvement after 2nd nasal suction episode. There was a significant decrease in the Acute Bronchiolitis Severity Score in study group.
Conclusions: Nasal suction is an effective supportive treatment in the patients with bronchiolitis and by using timely nasal suction length of hospital stay can be reduced. Nasal suction also decreases work of breathing and acute bronchiolitis severity score. It also improves the feeding. This non-invasive, simple procedure can be used in the community to decrease the burden of hospitalization on the family as well as on health care system.
Keywords: Bronchiolitis, Nasal suction, Acute Bronchiolitis Severity Score, Length of hospital stay.
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