Title :

Clinical practice guidelines: management of severe bronchiolitis in infants under 12 months old admitted to a pediatric critical care unit.

Author(s) :

Milési, Christophe [Auteur]
Centre Hospitalier Régional Universitaire [Montpellier] [CHRU Montpellier]
Baudin, Florent [Auteur]
Hôpital Femme Mère Enfant [CHU - HCL] [HFME]
Durand, Philippe [Auteur]
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Emeriaud, Guillaume [Auteur]
CHU Sainte Justine [Montréal]
Essouri, Sandrine [Auteur]
CHU Sainte Justine [Montréal]
Pouyau, Robin [Auteur]
Hôpital Femme Mère Enfant [CHU - HCL] [HFME]
Baleine, Julien [Auteur]
Centre Hospitalier Régional Universitaire [Montpellier] [CHRU Montpellier]
Beldjilali, Sophie [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Bordessoule, Alice [Auteur]
Geneva University Hospital [HUG]
Breinig, Sophie [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Demaret, Pierre [Auteur]
Centre Hospitalier Universitaire de Liège [CHU-Liège]
Desprez, Philippe [Auteur]
CHU Pointe-à-Pitre / Abymes [Guadeloupe]
Gaillard-Leroux, Bénédicte [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Guichoux, Julie [Auteur]

Guilbert, Anne-Sophie [Auteur]
Centre Hospitalier Universitaire [Strasbourg] [CHU Strasbourg]
Guillot, Camille [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Jean, Sandrine [Auteur]
CHU Trousseau [APHP]
Levy, Michael [Auteur]
Hôpital Robert Debré Paris
Noizet-Yverneau, Odile [Auteur]
Hôpital universitaire Robert Debré [Reims] [CHU Reims]
Rambaud, Jérôme [Auteur]
CHU Trousseau [APHP]
Recher, Morgan [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Reynaud, Stéphanie [Auteur]
Université de Lyon
Hôpital Femme Mère Enfant [CHU - HCL] [HFME]
Valla, Fréderic [Auteur]
Hôpital Femme Mère Enfant [CHU - HCL] [HFME]
Radoui, Karim [Auteur]
Faculté de Médecine d'Oran
Faure, Marie-Agnes [Auteur]
Hospices Civils de Lyon [HCL]
Ferraro, Guillaume [Auteur]
Centre Hospitalier Universitaire de Nice [CHU Nice]
Mortamet, Guillaume [Auteur]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]

Journal title :

Intensive Care Medicine

Abbreviated title :

Intensive Care Med

Publication date :

2023-01-07

ISSN :

1432-1238

English keyword(s) :

Pediatric intensive care
High-flow nasal cannula
Noninvasive ventilation
Recommendation
Guidelines
Bronchiolitis

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Purpose We present guidelines for the management of infants under 12 months of age with severe bronchiolitis with the aim of creating a series of pragmatic recommendations for a patient subgroup that is poorly individualized ...
Show more >Purpose We present guidelines for the management of infants under 12 months of age with severe bronchiolitis with the aim of creating a series of pragmatic recommendations for a patient subgroup that is poorly individualized in national and international guidelines. Methods Twenty-five French-speaking experts, all members of the Groupe Francophone de Réanimation et Urgence Pédiatriques (French‐speaking group of paediatric intensive and emergency care; GFRUP) (Algeria, Belgium, Canada, France, Switzerland), collaborated from 2021 to 2022 through teleconferences and face-to-face meetings. The guidelines cover five areas: (1) criteria for admission to a pediatric critical care unit, (2) environment and monitoring, (3) feeding and hydration, (4) ventilatory support and (5) adjuvant therapies. The questions were written in the Patient-Intervention-Comparison-Outcome (PICO) format. An extensive Anglophone and Francophone literature search indexed in the MEDLINE database via PubMed, Web of Science, Cochrane and Embase was performed using pre-established keywords. The texts were analyzed and classified according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. When this method did not apply, an expert opinion was given. Each of these recommendations was voted on by all the experts according to the Delphi methodology. Results This group proposes 40 recommendations. The GRADE methodology could be applied for 17 of them (3 strong, 14 conditional) and an expert opinion was given for the remaining 23. All received strong approval during the first round of voting. Conclusion These guidelines cover the different aspects in the management of severe bronchiolitis in infants admitted to pediatric critical care units. Compared to the different ways to manage patients with severe bronchiolitis described in the literature, our original work proposes an overall less invasive approach in terms of monitoring and treatment.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T02:46:24Z
2024-04-03T14:01:11Z