INTERVIEW – Head of the Pediatrics Department of the University Hospital of Nîmes, the Pr Tu Anh Tran details what should lead to hospitalization, and the care that is provided.
LE FIGARO. – When should a child with bronchiolitis be hospitalized?
Pr Tu Anh TRAN. – Above all, we look for signs of respiratory distress, because this is the only thing that puts the baby in real difficulty, with a risk of exhaustion, especially if he is eating poorly. Accelerated breathing rate, fluttering nostrils, belly rising at the wrong time of breathing, overused subcostal muscles: this indicates that the baby is having difficulty exhaling. He can then get tired until he can no longer breathe enough to oxygenate the blood. It was then that he had to be hospitalized.
How is the infant cared for?
Most often, he is fitted with “glasses” – two small tubes that enter the nostrils – through which oxygen-enriched air circulates. We also have high-flow goggles that send this flow of air under slight pressure to keep the bronchi open. Secretions can also be evacuated by suctioning…