The use of the thoracic-abdominal rebalancing technique in a patient with acute viral bronchiolitis: an experimental report

Ana Paula Felix Arantes

doi:10.52600/2763-583x.bjcr.2021.1.4.70-78

Abstract

Acute Viral Bronchiolitis (AVB) commonly affects newborns and infants causing signs of mild to moderate respiratory distress, presenting in some cases, need of hospital care to these patients. Thus, despite the low evidence levels of indicating the use of conventional therapies while treating BVA, this article presents the effectiveness of the Thoracic-Abdominal Rebalancing (TAR) technique in a newborn diagnosed with BVA during his hospital stay. The ATR technique proved to be effective in improving signs of respiratory effort when used in an infant hospitalized for AVB.

Highlights

Acute viral bronchiolitis (AVB) is a common lung infection in young individuals involving the lower respiratory tract and may present with signs of mild to moderate respiratory distress, the most common cause of which is respiratory syncytial virus (RSV) [1]
Previous studies and national and international consensus on the subject agree that respiratory physiotherapy should not be routinely used in patients with AVB, as it can contribute to the increase in the child's stress levels [7,8,9]
During this period that he remained in the emergency room, he was under oxygen therapy by Hood at 40% FiO2, other nursing care, prescription of daily respiratory physiotherapy, antibiotic therapy, he was kept on a free diet, antipyretic medication if necessary, and inhaled and intravenous bronchodilators

Summary

Introduction

Acute viral bronchiolitis (AVB) is a common lung infection in young individuals involving the lower respiratory tract and may present with signs of mild to moderate respiratory distress, the most common cause of which is respiratory syncytial virus (RSV) [1]. AVB usually presents as a mild and self-limited infection in most children, which can be treated in an outpatient setting, but sometimes it can progress to respiratory failure concomitantly with hospitalization [2]. AVB is most common in children under 2 years of age. Depending on the severity of the infection, there are at least 5 hospitalizations for every 1000 children under 2 years of age. Bronchiolitis is classically a more common seasonal disorder during autumn and winter, but sporadic cases can occur throughout the year [3]

Methods

Results

Conclusion