2026-04-20T17:00:29Zhttps://riubu.ubu.es/oai/requestoai:riubu.ubu.es:10259/100462025-01-28T01:05:29Zcom_10259_6688com_10259_5086com_10259_2604col_10259_6689
Repositorio Institucional de la Universidad de Burgos
author
Valencia Ramos, Juan
author
Ochoa Sangrador, Carlos
author
García, María
author
Oyagüez, Pablo
author
Arnaez, Juan
2025-01-27T11:17:16Z
2025-01-27T11:17:16Z
2022-12
0003-9888
http://hdl.handle.net/10259/10046
10.1136/archdischild-2021-323161
1468-2044
Objective: To test the hypothesis that greater comfort is achieved using a nebuliser integrated into a high-flow nasal cannula (nebulisation system integrated in high-flow nasal cannula (NHF)) than using a jet nebuliser (JN), and to explore differences in analgesia requirement and the possibility of feeding during nebulisation.
Design: Randomised cross-over trial.
Setting: Paediatric intensive care unit.
Patients: Children aged <24 months diagnosed with bronchiolitis between November 2016 and May 2017.
Interventions: Nebulisations using NHF and JN.
Main outcome measures: COMFORT–Behaviour Scale (CBS) and Numerical Rating Comfort Scale (NRSc) were used to measure comfort, and Numerical Rating Satisfaction Scale (NRSs) was used to assess satisfaction before, during and after nebulisation. Other variables included feeding, analgesia, need for being held and respiratory and heart rates.
Results: Thirty-three children with 233 nebulisations were included in the study. The median age was 3.0 (IQR 2–9) months. Comfort and satisfaction were greater with NHF than with JN. The median staff-recorded CBS, NRSc and NRSs scores for NHF versus JN were 13 (IQR 9–15) vs 17 (IQR 13–23), 8 (IQR 7–0) vs 7 (IQR 4–8), and 4 (IQR 3–4) vs 2 (IQR 2–3), respectively; and caregiver-recorded scores were 12 (IQR 10–15) vs 19 (IQR 13–24), 9 (IQR 7–10) vs 4 (IQR 1–6), and 4 (IQR 3–4) vs 2 (IQR 1–3), respectively (p<0.001). Children who received NHF had lower cardiac and respiratory rates, needed to be held less often during therapy and required less analgesia (p<0.001).
Conclusion: Nebulisation through NHF appears to be a better alternative to JN in terms of comfort and satisfaction as well as making feeding possible during nebulisation.
eng
Bronchiolitis
Comfort
COMFORT-Behavior scale
Family-centered care
Pediatric Critical Care
Impact of different nebulisation systems on patient comfort in bronchiolitis: a randomised controlled cross-over trial
info:eu-repo/semantics/article
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URL
https://riubu.ubu.es/bitstream/10259/10046/1/Valencia-adc_2022.pdf
File
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application/pdf
Valencia-adc_2022.pdf