From: Bronchodilator-responsive bronchiolar obstruction in term neonates: a case series
Characteristics | B.N | M.S | M.C | M.J | L.B1** | L.B2** |
---|---|---|---|---|---|---|
Coryza | Present | Absent | Present | Present | Absent | Absent |
Fever | Absent | Absent | Absent | Absent | Absent | Absent |
Difficult breathing | Present | Present | Present | Present | Present | Present |
Duration of symptoms before presentation | 5 h | 1 h | 8 h | 4 h | 72 h | 24 h |
Feeding type | Human milk | Formula milk | Human milk | Human milk | Mixed feeding | Mixed feeding |
Use of accessory muscles of respiration | Present | Present | Present | Present | Present | Present |
Tachypnoea | 76 | 79 | 72 | 83 | 72 | 62 |
SPO2 (%) in room air | 98 | 72 | 78 | 91 | 95 | 94 |
Prolonged expiration | Present | Present | Present | Present | Present | Present |
Expiration with terminal effort | Present | Present | Present | Present | Present | Present |
Percussion note | Not done | Hyper-resonant | Hyper-resonant | Hyper-resonant | Hyper-resonant | Hyper-resonant |
Rhonchi | Present | Present | Present | Present | Present | Present |
FBC report | Not suggestive of sepsis | Not suggestive of sepsis | Not suggestive of sepsis | Not suggestive of sepsis | Not suggestive of sepsis | Not suggestive of sepsis |
CXR report | Not done | Features of hyper-inflation | Not done | Not done | Not done | Features of hyper-inflation |
Treatment given | Intranasal oxygen, nebulized with Salbutamol and Dexamethasone | Intranasal oxygen, nebulized with Salbutamol and intr avenousHydrocortisone | Intranasal oxygen, nebulized with Salbutamol and intr avenousHydrocortisone | Intranasal oxygen, nebulized with Salbutamol, intravenous Aminophylline and Hydrocortisone | Nebulized with Normal saline | Nebulized with Salbutamol and Hydrocortisone |
Time to resolution of tachypnoea (Days) | 2 | 2 | 4 | 5 | 2 | 1 |
Duration of hospital stay (Days) | 5 | 3 | 8 | 10 | 3 | 4 |
Outcome | Discharged | Discharged | Absconded | Discharged | Discharged | Discharged |