Heterogeneity of emergency treatment practices in wheezing preschool children

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Csonka , P , Tapiainen , T , Mäkelä , M J & Lehtimäki , L 2021 , ' Heterogeneity of emergency treatment practices in wheezing preschool children ' , Acta Paediatrica , vol. 110 , no. 8 , pp. 2448-2454 . https://doi.org/10.1111/apa.15915

Title: Heterogeneity of emergency treatment practices in wheezing preschool children
Author: Csonka, Peter; Tapiainen, Terhi; Mäkelä, Mika J.; Lehtimäki, Lauri
Contributor organization: HUS Inflammation Center
Department of Dermatology, Allergology and Venereology
University of Helsinki
Date: 2021-08
Language: eng
Number of pages: 7
Belongs to series: Acta Paediatrica
ISSN: 0803-5253
DOI: https://doi.org/10.1111/apa.15915
URI: http://hdl.handle.net/10138/340450
Abstract: Aim Our aim was to survey treatment practices used for preschool children with wheezing in emergency rooms (ER) focussing on inhalation device choice and handling, face mask use, salbutamol dosing and written instructions. We sought to assess whether current protocols are in line with published evidence and guidelines. Methods This is a cross-sectional survey done in paediatric ER units located in Finnish municipalities with more than 10 000 inhabitants. Results Of the 100 units contacted, 50% responded. More than 50% of the units used nebulisers. Only 13% of the units administered salbutamol in single puffs. More than 30% of the units lacked criteria on face mask use. Poor co-operation had no effect on the dose of salbutamol in 62% of the units. Ensuring tight mask-to-face seal was included in the training in 20% of the units. A written action plan was provided to the caregivers in 28% of the units. Conclusion ER treatment guidelines for preschool children with wheezing are poorly endorsed. Research is needed to identify approaches to guideline implementation that are specific for primary care. Clinical research should focus on strengthening recommendations that are currently not embraced. ER treatment protocols need to be updated and adherence to guidelines should be re-evaluated.
Subject: acute management
asthma
bronchodilators
drug delivery emergency treatment
guidelines
inhalation therapy
preschool children
spacer
valved holding chambers
wheezing
HOLDING CHAMBERS
ELECTROSTATIC CHARGE
MULTIPLE ACTUATIONS
AEROSOL DELIVERY
SALBUTAMOL
VOLUME
ASTHMA
DEPARTMENTS
BARRIERS
THERAPY
3121 General medicine, internal medicine and other clinical medicine
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion


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