{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T10:38:04Z","timestamp":1775644684441,"version":"3.50.1"},"reference-count":11,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jtim-2021-0013_s_007\">\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Acute bronchiolitis is the most frequent cause of respiratory distress in pediatric emergency medicine. The risk of respiratory failure is frequently over evaluated, and results in systematic vascular access.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jtim-2021-0013_s_008\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a prospective observational study in children under 18 months of age hospitalized for bronchiolitis. The aim of the study was to evaluate whether catheter insertion was useful for management. We monitored the number of catheters inserted in the emergency department and their subsequent use for rapid sequence intubation, adrenaline administration, or antimicrobial therapy. We recorded the number of secondary pediatric intensive care unit (ICU) admissions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jtim-2021-0013_s_009\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We followed 162 patients and compared two populations, children with (population A, <jats:italic>n<\/jats:italic> = 35) and without (population B, <jats:italic>n<\/jats:italic> = 127) catheter insertion. There were no significant differences in age, oxygen saturation, heart rate, c-reactive protein, neutrophil count and the number of times nebulization was conducted at admission. Population A compared to B had a significantly higher temperature (38.1 \u00b1 0.9 <jats:italic>vs<\/jats:italic>. 37.6 \u00b1 0.7\u00b0C, <jats:italic>P<\/jats:italic> = 0.004) and respiratory rate (64 \u00b113 <jats:italic>vs<\/jats:italic>. 59 \u00b117, <jats:italic>P<\/jats:italic> = 0.033). Twelve patients were secondarily transferred to pediatric ICU, 3 from population A and 9 from B (NS). In a multivariate analysis, no significant relationship was found between ICU admission, venous access placement and potential confounding factors (pneumonia, age &lt; 6 months, age &lt; 3 months, food intake &lt; 60%, temperature &gt; 38\u00b0 C, heart rate &gt; 180 bpm, respiratory rate &gt; 60\/min, SpO<jats:sub>2<\/jats:sub> &lt; 95%, Spo<jats:sub>2<\/jats:sub> &lt; 90%, oxygen therapy, positive respiratory syncytial virus [RSV] sampling). Except for antimicrobial therapy (<jats:italic>n<\/jats:italic> = 32), catheters inserted in the emergency department were used in 5 patients for intravenous rehydration and in one patient in pediatric ICU for rapid sequence intubation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jtim-2021-0013_s_010\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>There were no life-threatening events that required immediate venous access for cardiopulmonary resuscitation. Medical treatment could be administered orally or via nasogastric tube in most cases. Peripheral catheterization was useless in immediate emergency management and only one child required a differed rapid sequence intubation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2478\/jtim-2021-0013","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T02:53:09Z","timestamp":1632970389000},"page":"185-189","source":"Crossref","is-referenced-by-count":4,"title":["Acute bronchiolitis: Why put an IV line?"],"prefix":"10.2478","volume":"9","author":[{"given":"S\u00e9bastien","family":"Redant","sequence":"first","affiliation":[{"name":"Emergency Department, H\u00f4pital Universitaire des Enfants Reine Fabiola (HUDERF), Universit\u00e9Libre de Bruxelles (ULB) , Brussels Belgium"},{"name":"ICU Department, Centre Hospitalier Universitaire Brugmann, Universit\u00e9 Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora","family":"Nehar-Stern","sequence":"additional","affiliation":[{"name":"Emergency Department, H\u00f4pital Universitaire des Enfants Reine Fabiola (HUDERF), Universit\u00e9Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick M.","family":"Honor\u00e9","sequence":"additional","affiliation":[{"name":"ICU Department, Centre Hospitalier Universitaire Brugmann, Universit\u00e9 Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachid","family":"Attou","sequence":"additional","affiliation":[{"name":"ICU Department, Centre Hospitalier Universitaire Brugmann, Universit\u00e9 Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Haggenmacher","sequence":"additional","affiliation":[{"name":"Emergency Department, H\u00f4pital Universitaire des Enfants Reine Fabiola (HUDERF), Universit\u00e9Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashita","family":"Tolwani","sequence":"additional","affiliation":[{"name":"Division of Nephrology, University of Alabama at Birmingham School of Medicine , Birmingham , AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"De Bels","sequence":"additional","affiliation":[{"name":"ICU Department, Centre Hospitalier Universitaire Brugmann, Universit\u00e9 Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Biarent","sequence":"additional","affiliation":[{"name":"Emergency Department, H\u00f4pital Universitaire des Enfants Reine Fabiola (HUDERF), Universit\u00e9Libre de Bruxelles (ULB) , Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2021,9,28]]},"reference":[{"key":"2023042508093576583_j_jtim-2021-0013_ref_001","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis. 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Intravenous fluids versus gastric-tube feeding in hospitalized infants with viral bronchiolitis: a randomized, prospective pilot study. J Pediatr 2013; 162: 640\u20132.","DOI":"10.1016\/j.jpeds.2012.10.057"},{"key":"2023042508093576583_j_jtim-2021-0013_ref_005","doi-asserted-by":"crossref","unstructured":"Macias CG, Mansbach JM, Fisher ES, Riederer M, Piedra PA, Sullivan AF, et al. Variability in inpatient management of children hospitalized with bronchiolitis. Acad Pediatr 2015; 15: 69\u201376.","DOI":"10.1016\/j.acap.2014.07.005"},{"key":"2023042508093576583_j_jtim-2021-0013_ref_006","doi-asserted-by":"crossref","unstructured":"Babl FE, Sheriff N, Neutze J, Borland M, Oakley E. Bronchiolitis manage\u00acment in pediatric emergency departments in Australia and New Zealand: a PREDICT study. 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Thorax 2007; 62: 1102\u20136.","DOI":"10.1136\/thx.2006.074906"},{"key":"2023042508093576583_j_jtim-2021-0013_ref_009","doi-asserted-by":"crossref","unstructured":"Addo-Yobo E, Chisaka N, Hassan M, Hibberd P, Lozano JM, Jeena PM, et al. Oral amoxicillin versus inject\u00acable penicillin for severe pneumonia in children aged 3 to 59 months: a randomized multicentre equivalency study. Lancet 2004; 364: 1141\u20138.","DOI":"10.1016\/S0140-6736(04)17100-6"},{"key":"2023042508093576583_j_jtim-2021-0013_ref_010","doi-asserted-by":"crossref","unstructured":"Farley R, Spurling G, Eriksson L, Mar CD. Antibiotics for bronchiolitis in children under two years of age. Cochrane Database Syst Rev 2014; (10): CD005189.","DOI":"10.1002\/14651858.CD005189.pub4"},{"key":"2023042508093576583_j_jtim-2021-0013_ref_011","doi-asserted-by":"crossref","unstructured":"Hasegawa K, Pate BM, Mansbach JM, Macias CG, Fisher ES, Piedra PA, et al. Risk factors for requiring intensive care among children admitted to ward with bronchiolitis. Acad Pediatr 2015; 15: 77\u201381.","DOI":"10.1016\/j.acap.2014.06.008"}],"container-title":["Journal of Translational Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.2478\/jtim-2021-0013\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.2478\/jtim-2021-0013\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T08:17:18Z","timestamp":1682410638000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.2478\/jtim-2021-0013\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,1]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,9,28]]},"published-print":{"date-parts":[[2021,9,28]]}},"alternative-id":["10.2478\/jtim-2021-0013"],"URL":"https:\/\/doi.org\/10.2478\/jtim-2021-0013","relation":{},"ISSN":["2224-4018"],"issn-type":[{"value":"2224-4018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,1]]}}}