• Croup (Laryngotracheobronchitis)
    www.rch.org.au/clinicalguide/guideline_index/Croup_Laryngotracheobronchitis/
    worsening upper airway obstruction For severe and life-threatening croup, use nebulised adrenaline and seek … mg/kg oral or prednisolone 1 mg/kg oral Consider nebulised adrenaline if persistent or worsening … symptoms Severe Senior clinician review. Manage in high acuity treatment area  Nebulised adrenaline …
  • Bronchiolitis
    www.rch.org.au/clinicalguide/guideline_index/Bronchiolitis/
    of atopy Corticosteroids (nebulised, oral, intramuscular or intravenous) Adrenaline (nebulised …, intramuscular or intravenous) except in peri-arrest or arrest situation Nebulised hypertonic saline Antibiotics …
  • Acute upper airway obstruction
    www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
    emergency airway management In any child with severe acute upper airway obstruction, nebulised adrenaline … saturations but does not relieve obstruction Consider nebulised adrenaline to provide temporary relief in any …
  • Anaphylaxis
    www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/
    to consider Repeated doses of IM adrenaline together with Nebulised or MDI salbutamol is recommended … with fluid; use boluses of 20 mL/kg of sodium chloride 0.9% for shock Nebulised adrenaline is not recommended … or bronchospasm is present If airway oedema is not responding to parenteral (IM, IV) and nebulised adrenaline …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    COVID-19 For children requiring high-flow oxygen or nebulised therapy, airborne precautions must … services Nebulised adrenaline should be reserved for severe  croup , due to risk of aerosolisation Airborne … precautions must be maintained if child requires high-flow oxygen, non-invasive ventilation or nebulised
  • Hyperkalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hyperkalaemia/
    serum potassium levels Shift potassium into cells: salbutamol nebulised, insulin and glucose IV Remove … via nebuliser ≤25 kg: 2.5 mg neb 1-2 hourly >25 kg: 5 mg neb (max 10-20 mg) 1-2 hourly Onset of action …
  • C1 Esterase inhibitor deficiency
    www.rch.org.au/clinicalguide/guideline_index/C1_Esterase_inhibitor_deficiency/
    nebulised or intramuscular adrenaline to treat upper airway angioedema, however C1 esterase inhibitor …
  • Cerebral Palsy - chest infection
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_chest_infection/
    Nebulised saline (5mls of sodium chloride 0.9%) may help mobilise secretions Oro-pharyngeal suction may …
  • Hydrofluoric acid exposure
    www.rch.org.au/clinicalguide/guideline_index/Hydrofluoric_acid_exposure/
    exposure: Nebulised 1 mL Calcium gluconate 10 % in 3 mL 0.9 % sodium chloride. Refractory pain: Discuss …
  • Emergency airway management in COVID-19 context
    www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management_in_COVID-19_context/
    / high flow nasal   cannula therapy (HFNC) / nebuliser therapy Continuous nitrous oxide sedation …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.