Pediatric Bronchiolitis – Clinical Pathway

Differentiating bronchiolitis from asthma and reactive airway disease in young children can be challenging, and a rapidly changing clinical presentation can confound accurate assessment of the severity of the illness.

Acute bronchiolitis is the most common lower respiratory tract infection in young children that leads to emergency department visits and hospitalizations. Bronchiolitis is a clinical diagnosis, and diagnostic laboratory and radiographic tests play a limited role in most cases. While studies have demonstrated a lack of efficacy for bronchodilators and corticosteroids, more recent studies suggest a potential role for combination therapies and high-flow nasal cannula therapy. Frequent evaluation of patient clinical status including respiratory rate, work of breathing, oxygen saturation, and the ability to take oral fluids are important in determining safe disposition.

This summary of the treatment recommendations for pediatric bronchiolitis, supported by various guidelines provides, a systematic approach to ED assessment of such patients.

Click the image to download as PDF..

Summary of Recommendations for ED Management of the Acute Bronchiolitis in Pediatric Patients

Get access to more pathways with an individual or group subscription. Visit to find out more!

Need more information?
Click here to review the issue!

Last Updated on June 12, 2022

Leave a Reply

Your email address will not be published. Required fields are marked *

%d bloggers like this: