Abstract

Young children are obligate nose breathers. When these patients develop severe congestion, they can present to the emergency department (ED) with difficulty feeding, tachypnea, retractions, and respiratory distress, despite nasal saline and suction at home. Intranasal oxymetazoline has been used in the adult population to counter congestion with a minimal side effect profile. It can offer an alternative management for parents and physicians. This is a preliminary safety study of using oxymetazoline in the pediatric population with the hypothesis that medication administration will not have a significant side effect on heart rate, blood pressure, or respiratory rate, and can be a safe treatment option for children 1 month to 12 months old.

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