Title
Hypertonic Saline for Outpatient Bronchiolitis
Safety and Efficacy of Hypertonic Vrs. Normal Saline as Diluent of Salbutamol to Reduce Respiratory Distress in Outpatients With the Clinical Diagnosis of Bronchiolitis During the RSV Epidemic.
Phase
Phase 2Lead Sponsor
University Diego PortalesStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Bronchiolitis Respiratory DistressIntervention/Treatment
albuterol ...Study Participants
74We will study if small children who become ill with respiratory distress during the RSV epidemic are better relieved with salbutamol nebulizations diluted in hypertonic (3%), instead of normal (0.9%) saline.
In Santiago, Chile, a near collapse of health services is a notorious feature of every winter when vast numbers of small children line for attention because of respiratory distress caused by a probable RSV infection.
Our study will examine if nebulized salbutamol diluted in hypertonic (3%), instead of normal (0.9%) saline, provides better relief in outpatients.
If hypertonic saline proves safe and effective, the patients could be better managed and the pressure for attention diminished at a low cost, by a simple change in the saline ampule.
The first of 3 nebulizations of 0.5 mg of Salbutamol is diluted in 3.5 ml of hypertonic (3%) saline. The second and the third are diluted in normal (0.9%) saline.
The 3 nebulizations of 0.5 mg of Salbutamol are diluted in 3.5 ml of normal (0.9%) saline.
Salbutamol is diluted in hypertonic (3%) saline.
Salbutamol is diluted in normal (0.9%) saline.
Inclusion Criteria: Age 1 to 24 months Mild to moderate respiratory distress (Tal score below 9) Up to 5 days of respiratory symptoms, including today Expiratory wheezing heard on chest auscultation Indication of salbutamol nebulization treatment by attending physician Exclusion Criteria: Two prior episodes of wheezing Premature birth (below 38 weeks), if below 6 months of age Lobar pneumonia Body temperature above 38 degree Celsius Use of salbutamol during the previous 6 hours Pulse oxymetry reading below 90% Congenital heart disease Chronic pulmonary disease: Asthma, cystic fibrosis, bronchopulmonary dysplasia Other chronic or genetic condition or disease