Abstract
Deimplementing Continuous Pulse Oximetry in Patients With Bronchiolitis—What Are We Waiting For?
Highlights
The use of continuous pulse oximetry among patients with mild to moderate bronchiolitis, in particular children not receiving supplemental oxygen, is discouraged by current national guidelines
Decades of clinical research on acute viral bronchiolitis have failed to identify diagnostic or therapeutic strategies that alter the course of illness, leaving supportive care as the mainstay of evidence-based therapy
A plethora of published efforts has led to the idea that the quality improvement (QI) movement may be a driver of trends toward increasing guideline compliance, confidence in asserting cause and effect based on existing literature remains low
Summary
The use of continuous pulse oximetry among patients with mild to moderate bronchiolitis, in particular children not receiving supplemental oxygen, is discouraged by current national guidelines. Compliance with national clinical practice guidelines for bronchiolitis appears to be improving over time in the US, with reductions in low-value diagnostic testing and treatments observed.[4] the mechanism for these improvements remains poorly understood.
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