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Key Resources

Evidence Repository: Bronchiolitis  (2022)

Evidence Repository: Bronchiolitis

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Dr. Amy Plint & Dr. Gabrielle Freire

Dr. Amy Plint & Dr. Gabrielle Freire

Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.

This evidence repository is not intended to be an exhaustive list of resources for a topic, but rather a curated list of current, evidence-based resources, based on expert consensus of relevance and usability for a general emergency department setting. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.

Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).

More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762 

Evidence repositories are collections of best available resources and evidence (clinical guidelines, peer reviewed literature, systematic reviews, etc.), collated by our knowledge synthesis team and content advisors.

This evidence repository is not intended to be an exhaustive list of resources for a topic, but rather a curated list of current, evidence-based resources, based on expert consensus of relevance and usability for a general emergency department setting. We search databases (Cochrane Library, PubMed, TRIP Database) and web search engines (Google, Google Scholar) to locate evidence. Additionally, hospital websites are browsed for guidance documents, such as clinical practice guidelines (CPG) for healthcare professionals.

Every effort is made to identify resources that are open access (i.e. publicly available, free of charge, not requiring a subscription).

More information about the creation of our evidence repositories can be found at https://pubmed.ncbi.nlm.nih.gov/28537762 

Bottom Line Recommendations: Bronchiolitis  (2023)

Bottom Line Recommendations: Bronchiolitis

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Dr. Gabrielle Freire and Dr. Amy Plint

Dr. Gabrielle Freire and Dr. Amy Plint

Bottom line recommendations for the treatment and management of bronchiolitis. 

Bottom line recommendations for the treatment and management of bronchiolitis. 

Recommandations de Base: La Bronchiolite  (2023)

Recommandations de Base: La Bronchiolite

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Dr. Gabrielle Freire and Dr. Amy Plint

Dr. Gabrielle Freire and Dr. Amy Plint

Bottom line recommendations for the treatment and management of bronchiolitis - en francais. 

Bottom line recommendations for the treatment and management of bronchiolitis - en francais. 

Systematic reviews

Cochrane Systematic Review: Heliox inhalation therapy for bronchiolitis in infants

Cochrane Systematic Review: Heliox inhalation therapy for bronchiolitis in infants

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Liet JM, Ducruet T, Gupta V, Cambonie G.

Liet JM, Ducruet T, Gupta V, Cambonie G.

Objectives: To assess heliox in addition to standard medical care for acute bronchiolitis in infants.

Objectives: To assess heliox in addition to standard medical care for acute bronchiolitis in infants.

Cochrane Systematic Review: Inhaled corticosteroids during acute bronchiolitis in the prevention of post-bronchiolitic wheezing

Cochrane Systematic Review: Inhaled corticosteroids during acute bronchiolitis in the prevention of post-bronchiolitic wheezing

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Blom DJ, Ermers M, Bont L, van Woensel JB, Van Aalderen WM.

Blom DJ, Ermers M, Bont L, van Woensel JB, Van Aalderen WM.

Objectives: The objective of this review was to evaluate the effect of inhaled corticosteroids, started during the acute phase of bronchiolitis, on the prevention of post-bronchiolitic wheezing.

Objectives: The objective of this review was to evaluate the effect of inhaled corticosteroids, started during the acute phase of bronchiolitis, on the prevention of post-bronchiolitic wheezing.

Cochrane Systematic Review: Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months

Cochrane Systematic Review: Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months

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Enriquez A, Chu IW, Mellis C, Lin WY.

Enriquez A, Chu IW, Mellis C, Lin WY.

Objectives: To determine the effect of nebulised rhDNase on the severity and duration of viral bronchiolitis in children younger than 24 months of age in the hospital setting.

Objectives: To determine the effect of nebulised rhDNase on the severity and duration of viral bronchiolitis in children younger than 24 months of age in the hospital setting.

Cochrane Systematic Review: Steam inhalation or humidified oxygen for acute bronchiolitis in children up to three years of age

Cochrane Systematic Review: Steam inhalation or humidified oxygen for acute bronchiolitis in children up to three years of age

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Umoren R, Odey F, Meremikwu MM.

Umoren R, Odey F, Meremikwu MM.

Objectives: To evaluate the effect of steam inhalation or humidified oxygen to relieve respiratory distress and to evaluate adverse events in children up to three years old with acute bronchiolitis.

Objectives: To evaluate the effect of steam inhalation or humidified oxygen to relieve respiratory distress and to evaluate adverse events in children up to three years old with acute bronchiolitis.

Cochrane Systematic Review: Surfactant therapy for bronchiolitis in critically ill infants

Cochrane Systematic Review: Surfactant therapy for bronchiolitis in critically ill infants

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Ventre K, Haroon M, Davison C.

Ventre K, Haroon M, Davison C.

Objectives: To assess the efficacy of exogenous surfactant for the treatment of bronchiolitis in mechanically ventilated infants and children.

Objectives: To assess the efficacy of exogenous surfactant for the treatment of bronchiolitis in mechanically ventilated infants and children.

Cochrane Systematic Review: Antibiotics for persistent cough or wheeze following acute bronchiolitis in children

Cochrane Systematic Review: Antibiotics for persistent cough or wheeze following acute bronchiolitis in children

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McCallum GB, Morris PS, Chang AB.

McCallum GB, Morris PS, Chang AB.

Objectives: To determine the effectiveness of antibiotics compared to a control (no treatment or placebo) for persistent respiratory symptoms (within six months), following acute bronchiolitis.

Objectives: To determine the effectiveness of antibiotics compared to a control (no treatment or placebo) for persistent respiratory symptoms (within six months), following acute bronchiolitis.

Cochrane Systematic Review: Antibiotics for bronchiolitis in children

Cochrane Systematic Review: Antibiotics for bronchiolitis in children

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Spurling GK, Doust J, Del Mar CB, Eriksson L

Spurling GK, Doust J, Del Mar CB, Eriksson L

OBJECTIVES: To evaluate the effectiveness of antibiotics for bronchiolitis.

OBJECTIVES: To evaluate the effectiveness of antibiotics for bronchiolitis.

Cochrane Systematic Review: Bronchodilators for bronchiolitis

Cochrane Systematic Review: Bronchodilators for bronchiolitis

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Gadomski AM, Scribani MB

Gadomski AM, Scribani MB

OBJECTIVES: To assess the effects of bronchodilators on clinical outcomes in infants (0 to 12 months) with acute bronchiolitis.

OBJECTIVES: To assess the effects of bronchodilators on clinical outcomes in infants (0 to 12 months) with acute bronchiolitis.

Cochrane Systematic Review: Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old

Cochrane Systematic Review: Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old

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Roqu i Figuls M, Gin-Garriga M, Granados Rugeles C, Perrotta C

Roqu i Figuls M, Gin-Garriga M, Granados Rugeles C, Perrotta C

OBJECTIVES: The main objective was to determine the efficacy of chest physiotherapy in infants aged less than 24 months old with acute bronchiolitis. A condary objective was to determine the efficacy of different techniques of chest physiotherapy (for ample, vibration and percussion and passive forced exhalation).

OBJECTIVES: The main objective was to determine the efficacy of chest physiotherapy in infants aged less than 24 months old with acute bronchiolitis. A condary objective was to determine the efficacy of different techniques of chest physiotherapy (for ample, vibration and percussion and passive forced exhalation).

Cochrane Systematic Review: Epinephrine for bronchiolitis

Cochrane Systematic Review: Epinephrine for bronchiolitis

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Hartling L, Bialy LM, Vandermeer B, Tjosvold L, Johnson DW, Plint AC, Klassen TP, Patel H, Fernandes RM.

Hartling L, Bialy LM, Vandermeer B, Tjosvold L, Johnson DW, Plint AC, Klassen...

Objectives: To examine the efficacy and safety of epinephrine in children less than two with viral bronchiolitis.

Objectives: To examine the efficacy and safety of epinephrine in children less than two with viral bronchiolitis.

Cochrane Systematic Review: Glucocorticoids for viral bronchiolitis in infants and young children

Cochrane Systematic Review: Glucocorticoids for viral bronchiolitis in infants and young children

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Fernandes RM, Bialy LM, Vandermeer B, Tjosvold L, Plint AC, Patel H, Johnson DW, Klassen TP, Hartling L.

Fernandes RM, Bialy LM, Vandermeer B, Tjosvold L, Plint AC, Patel H, Johnson ...

Objectives: To review the efficacy and safety of systemic and inhaled glucocorticoids in children with viral bronchiolitis.

Objectives: To review the efficacy and safety of systemic and inhaled glucocorticoids in children with viral bronchiolitis.

Cochrane Systematic Review: Nebulised hypertonic saline solution for acute bronchiolitis in infants

Cochrane Systematic Review: Nebulised hypertonic saline solution for acute bronchiolitis in infants

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Zhang L, Mendoza-Sassi RA, Wainwright C, Klassen TP.

Zhang L, Mendoza-Sassi RA, Wainwright C, Klassen TP.

Objectives: To assess the effects of nebulised hypertonic ( 3%) saline solution in infants with viral bronchiolitis.

Objectives: To assess the effects of nebulised hypertonic ( 3%) saline solution in infants with viral bronchiolitis.

Cochrane Systematic Review: Oxygen therapy for lower respiratory tract infections in children between 3 months and 15 years of age

Cochrane Systematic Review: Oxygen therapy for lower respiratory tract infections in children between 3 months and 15 years of age

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Rojas MX, Granados Rugeles C, Charry-Anzola LP.

Rojas MX, Granados Rugeles C, Charry-Anzola LP.

Objectives: To determine in the treatment of LRTIs: the effectiveness of oxygen therapy and oxygen delivery methods; the safety of these methods; and indications for oxygen therapy.

Objectives: To determine in the treatment of LRTIs: the effectiveness of oxygen therapy and oxygen delivery methods; the safety of these methods; and indications for oxygen therapy.

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Emergency Medicine Cases Bronchiolitis Podcast

Posted: Feb 10, 2015  | Announcement  | Team: News and Events 
Tags: Bronchiolitis


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Bronchiolitis resources

Posted: Dec 05, 2016  | Announcement  | Team: News and Events 


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Bronchiolitis Bottom Line: Two Year Review

Posted: May 02, 2017  | Announcement  | Team: News and Events 


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Updated Resources for Bronchiolitis

Posted: Feb 09, 2021  | Announcement  | Team: News and Events 


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Parent tools - UTI and Bronchiolitis

Posted: Jan 09, 2020  | Announcement  | Team: News and Events 


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CanadiEM blog: TREKK Series | Bronchiolitis

Posted: Jul 20, 2016  | Blog  | Team: News and Events 


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VOTING NOW OPEN: Bronchiolitis video for parents

Posted: Nov 05, 2019  | Announcement  | Team: News and Events 


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Outstanding Mentor Award

Posted: Nov 03, 2016  | Announcement  | Team: News and Events 


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Dr. Amy Plint on wrist buckle fractures

Posted: Oct 06, 2015  | Announcement  | Team: News and Events 


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OUTCH Study

Posted: Feb 19, 2016  | Announcement  | Team: News and Events 


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French Bottom Line Recommendations

Posted: Mar 25, 2015  | Announcement  | Team: News and Events 


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New bottom line recommendations for concussion on trekk.ca

Posted: Nov 05, 2014  | Announcement  | Team: News and Events 



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