Dr. Nikhil Sharma

ABSTRACT

BACKGROUND: Nebulized adrenaline is used as preferred treatment in addition to supportive care in bronchiolitis but it causes tachycardia. Nebulized 3% saline and normal saline are also used. Few studies compared these 3 in efficacy and safety. MATERIAL AND METHODS-Observational analytical study including 90 Children divided in 3 groups, aged 2-24 months, presenting with bronchiolitis. Length of hospital stay and treatment failure at 24 hours were the primary outcomes .Clinical scoring system by Uyan et al was used. Group A received Epinephrine, Group B received HS and Group C received NS. Patients enrolled successively in three groups. Scores and heart rate were monitored at 24 hours. Increase in score of 2 or more (from admission score) or heart rate above 200 or 10% increase over baseline, considered as treatment failure.