Wednesday, April 23, 2014

Admit It—You Want to Try Home Oxygen for Bronchiolitis via the ED But Aren’t Sure If Benefits Outweigh Risks—Read On!

Photo by Zappy's Technology via Flickr
While hypoxia in the emergency setting usually means an inpatient admission, when there is mild hypoxia and good follow-up, perhaps sending a patients home from the emergency department on home oxygen might be an acceptable option. Yet what happens to those children sent home on extra
oxygen support?

Flett et al. (doi: 10.1542/peds. 2013-1872) studied a retrospective cohort of more than 230 consecutive patients sent home on oxygen rather than initially admitted. How these patients fared, including their need for readmission or other complications, is well-categorized in this interesting article that may change the way you manage your bronchiolitic patients.

Take a deep breath and read this study to learn more. While you’re at it, turn to a commentary by pediatric emergency medicine specialist Dr. Stephen Teach (doi: 10.1542/peds. 2014-0512) who offers his input on this study.

Are your patients with bronchiolitis being followed on home oxygen? Share your thoughts on what you do or about this study via a response to our blog, an eLetter, or our Facebook or Twitter sites.

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