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Effect of ipratropium bromide on respiratory mechanics in infants with acute bronchiolitis
Authors:J Seidenberg  I B Masters  I Hudson  A Olinsky  P D Phelan
Affiliation:Professional Department of Thoracic Medicine, Royal Children's Hospital, Parkville, Victoria, Australia.
Abstract:The effect of nebulized ipratropium bromide in 14 infants (mean age: 20 weeks, range: 4-41) with acute respiratory syncytial virus bronchiolitis was examined. A modified rapid chest compression technique was used to obtain partial expiratory flow-volume curves and maximum flow at functional residual capacity. Passive respiratory mechanics were assessed by brief occlusion at end inspiration. Thoracic gas volume was measured in a body plethysmograph. No significant difference was found in forced and passive respiratory mechanics pre- and post-ipratropium bromide. No subgroups could be identified. These results do not support the use of ipratropium bromide in acute viral bronchiolitis.
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