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Discharge O2 sat for bronchiolitis

Vote! But for something other than President…

You are seeing a 3mo old with clinical bronchiolitis who is otherwise well-appearing, tolerating po’s, not in significant respiratory distress, afebrile, has good follow-up. At what O2 sat do you admit the patient for supplementary O2?

The AAP says:


At what O2 sat do you admit otherwise well-appearing 3mo old with bronchiolitis?

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pemsou5_wp • November 8, 2016

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  1. Joelle Donofrio November 8, 2016 - 9:31 am Reply

    90%. We use a pathway algorithm to determine who gets admitted for bronchiolitis.

    • Kelly November 8, 2016 - 10:10 am Reply

      If it’s share-able would love to see it! Or you could summarize it. And sorry the poll was not showing initially – I entered your vote for you.

  2. Kelly November 17, 2016 - 1:25 am Reply

    Here is a very interesting study where the investigators basically tricked the ED doctors into believing that the O2 sat was 3 points higher than it actually was in a group of infants with bronchiolitis. They found that infants with an artificially higher O2 sat were less likely to be admitted to the hospital or treated for longer than 6 hours in the ED, but had no increase in adverse effects.

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