#bronchiolitis

This week we're going to talk about pulmonary toilet or lung hygiene, the techniques and tools for removing secretions and enhancing air movement. All kinds of patients benefit from pulmonary toilet, such as individuals with cystic fibrosis, people in the hospital after a surgery, asthmatics or post-COVID, or those with neuromuscular scoliosis, dysphagia, and a weak cough. Here's a video on chest physiotherapy or PT (CPT), the simplest kind of pulmonary toilet because it requires no tools, but there is still come skill to clapping with cupped hands over the various regions of the lung and vibration during exhalations. They can be performed on patients of any age, including infants with bronchiolitis.

Hoping for a good night sleep. Eli brought home pizza as a peace offering.

Image courtesy of Nemours Kids Health.

We had a good talk about Cassie’s breathing and bronchiolitis this morning before heading to soft play. We’d been concerned about her inhalers running out and going by what the a&e doctor said last time just to get updated information. We not only spoke with the doctor (who was originally from California, it’s not everyday I hear a similar North American accent to mine in England) but to the head of children’s health at our GP’s clinic. They gave us lots of good information about how to go about treating Cassie’s bronchiolitis symptoms and even gave us an appropriate child’s aerochamber for us to use instead of the bulky adult spacer the hospital gave us back in October. It’s even got adorable teddies on it. I’m now keeping a diary for her symptoms as they pop up with her viral colds and he was happy to hear we were out and regularly socialising the girls to get them more exposed to other germs and strains as he said it might suck now but as they grow they’ll have built up a good solid immune system and he was very happy to hear they were up to date on their vaccinations as well. They’ve taken her off the atroven inhaler for he time being to see how she gets on and since I have such a strong family history of asthma the diary will help to find any irregularities that could point to early childhood asthma or if it is purely triggered by these viral infections that cause her bronchiolitis to flare up. Either way we are getting solid help for Cassie.

Willow trying out Cassie’s spacer. She watches me give Cassie her inhalers whenever she’s sick and copies her 😆 it’s so cute and she’s just so clever always watching and learning💜

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(via Bronchiolitis (RSV) – Causes, Symptoms, Treatment, and Prevention in Infants & Children)