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Chapter 5

Can You can Discharge a Hypoxic Bronchiolitic?

Jason Woods, MD and Rob Orman, MD
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A few years ago, discharging hypoxic bronchiolitics on homie O2 would have sounded like madness. Today, however, that's not the case. Pediatric emergency physician Jason Woods explains how it's done at his hospital as well as pro-tips on bronchiolitis management, 

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Andrew K. -

This is a very interesting idea that I could see working at a large hospital or in a well-off area, but I wonder about the resource utilization of the recommended observation period + arranging for home o2 + arranging for 24 hour follow-up versus consulting pediatrics for admission in smaller hospitals or less well-off populations. However, our peds service is usually very low volume and there would be no issue getting a patient admitted for this indication.

As a hospitalist I am quite interested in whether this would work for adults as well, we have patients that linger a lot on 1L for pneumonia/copd, and of course the COPDer who is completely fine but needs admission for a liter or two while walking. Maybe this is already happening in the US but in Canada arranging oxygen fast enough for this is a current barrier.

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