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Bronchiolitis with apnoea risk — RCPSC EM MCQ

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EasyPaediatric emergenciesBronchiolitis with apnoea riskRCPSC EM

A 13-month-old has bronchiolitis with poor feeding and apnoeic episodes witnessed by parents. Respiratory rate is 64/min, oxygen saturation fluctuates between 88% and 92% and there are subcostal recessions. He was born at 32 weeks' gestation. What is the most likely diagnosis?

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Correct answer: D — Bronchiolitis with apnoea risk

Bronchiolitis with young age, prematurity, hypoxaemia, increased work of breathing and apnoeic episodes is higher risk and usually requires admission for supportive care and monitoring.

Reference: Canadian Paediatric Society bronchiolitis guidance; PALS