Editorial
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Aug 4, 2015; 4(3): 152-158
Published online Aug 4, 2015. doi: 10.5492/wjccm.v4.i3.152
From bronchiolitis guideline to practice: A critical care perspective
James A Lin, Andranik Madikians
James A Lin, Andranik Madikians, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mattel Children’s Hospital UCLA, University of California, Los Angeles, CA 90095, United States
Author contributions: Both authors contributed to this manuscript.
Conflict-of-interest statement: The authors have disclosed that they have no potential conflicts of interest (including but not limited to commercial, personal, political, intellectual, or religious interests) that are related to the work submitted for consideration of publication. This is an unfunded work.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: James A Lin, MD, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Mattel Children’s Hospital UCLA, 10833 Le Conte Ave, Mail Code 175217, Los Angeles, CA 90095, United States. jameslin@mednet.ucla.edu
Telephone: +1-310-8259124 Fax: +1-310-7946623
Received: March 5, 2015
Peer-review started: March 5, 2015
First decision: April 27, 2015
Revised: June 12, 2015
Accepted: July 11, 2015
Article in press: July 14, 2015
Published online: August 4, 2015
Core Tip

Core tip: Pediatric acute viral bronchiolitis is characterized by small airways obstruction due to inflammatory infiltrates and debris. While this pathology has little or no overlap with asthma, the clinical presentation of wheezing may be similar. Emerging methods to distinguish asthmatics from the general bronchiolitis population, stratify patients according to illness severity, and provide more effective pulmonary clearance and respiratory support may improve outcomes for these patients in the pediatric intensive care unit.