Nebulised Hypertonic Saline… Everybody’s talking about it. Well, they should be. Is this finally the treatment for bronchiolitis that we’ve been waiting for? Could a cheap, simple medication like this be the answer to massive health-care costs?
Bronchiolitis is such a common condition, that saving a day (or even half a day) of hospital length of stay across the board, would result in major savings to healthcare costs, across the world.
If this was a new or patented drug, we would have heard all about it!
In this episode we discuss 4 original papers related to Hypertonic Saline for bronchiolitis, as well as the reviews riding on these original works.
Nebulised Hypertonic Saline for Bronchiolitis: Outline of this PEMcast
CP: welcome, disclaimer, overview
CP: Sarrell 2002: Nebulized 3% hypertonic saline solution treatment in ambulatory children with viral bronchiolitis decreases symptoms. [Chest 2002; 122: 2015-20]
SF: Mandelberg 2003: Nebulized 3% hypertonic saline solution treatment in hospitalized infants with viral bronchiolitis. [Chest 2003; 123: 481-7]
KB: Tal 2006: Hypertonic saline / epinephrine treatment in hospitalized infants with viral bronchiolitis reduces hospitalization stay: 2 years experience. [Israeli Medical Association Journal 2006; 8: 169-73]
CP: Kuzik 2007: Nebulized hypertonic saline in the treatment of viral bronchiolitis in infants. [Journal of Pediatrics 2007; 151: 266-70]
SF: Zhang 2008 Cochrane review: Nebulized hypertonic saline solution for acute bronchiolitis in infants. [Cochrane Database of Systematic Reviews 2008; CD006458]
KB: Horner 2009 BestBET: Nebulised hypertonic saline significantly decreases length of hospital stay and reduces symptoms in children with bronchiolitis. [Emergency medicine Journal 2009; 26: 518-9]
CP: summary / opinions of others
All: conclusions, goodbye
Thanks for joining us… Post a comment! Are you using hypertonic saline nebs for bronchiolitis?