Revisión narrativa de la técnica de los lavados nasales en pediatría / Literature review of nasal lavage technique in paediatrics

Introducción: Las infecciones de vías respiratorias altas y la bronquiolitis son de las patologías más comunes en la infancia. Dentro de los cuidados del paciente pediátrico la técnica de los lavados nasales es muy utilizada a nivel mundial ya que está recomendada en varias patologías sinusales. Objetivos: Sintetizar la evidencia disponible sobre la técnica de los lavados nasales en el paciente pediátrico. Métodos: Búsqueda bibliográfica en bases de datos MEDLINE, EMBASE, CINAHL y COCHRANE PLUS, utilizando los descriptores: pediatrics, respiratory tract infection, bronchiolitis, nasal lavage. Resultados: Se seleccionaron 11 artículos por su pertinencia y especificidad. En los documentos las recomendaciones se estructuran en cinco epígrafes respecto a la técnica de lavados nasales. Conclusiones: Podemos recomendar según la evidencia científica el uso de suero salino isotónico estéril, la presión positiva baja con volúmenes amplios mediante jeringa desechable. En el futuro, se debería profundizar en el volumen de solución a irrigar, el material para realizar el lavado y la posición del paciente.(AU)

Introduction: Upper respiratory infections and bronchiolitis are among the most common pathologies in childhood. In paediatric patient care, the nasal lavage technique is widely used as it is recommended in various sinus pathologies. Objective. To synthesize the available evidence on nasal lavage technique in paediatric patients. Methods: Literature search in MEDLINE, EMBASE, CINAHL and COCHRANE PLUS databases, using the descriptors: paediatrics, respiratory tract infection, bronchiolitis, nasal lavage. Results: 11 articles were selected due to relevance and specificity. In the documents, the recommendations are structured in five sections regarding the LN technique. Conclusions: We can recommend, based on scientific evidence, the use of sterile isotonic saline, low positive pressure with wide volumes using a disposable syringe. In the future, the aspects of volume to be used, material and position of the patient regarding the technique should be studied in depth.(AU)

Literature review of nasal lavage technique in paediatrics. / Revisión narrativa de la técnica de los lavados nasales en pediatría.

INTRODUCTION: Upper respiratory infections and bronchiolitis are among the most common pathologies in childhood. In paediatric patient care, the nasal lavage technique is widely used as it is recommended in various sinus pathologies. OBJECTIVE: To synthesize the available evidence on nasal lavage technique in paediatric patients. METHODS: Literature search in MEDLINE, EMBASE, CINAHL and COCHRANE PLUS databases, using the descriptors: paediatrics, respiratory tract infection, bronchiolitis, nasal lavage. RESULTS: 11 articles were selected due to relevance and specificity. In the documents, the recommendations are structured in five sections regarding the LN technique. CONCLUSIONS: We can recommend, based on scientific evidence, the use of sterile isotonic saline, low positive pressure with wide volumes using a disposable syringe. In the future, the aspects of volume to be used, material and position of the patient regarding the technique should be studied in depth.