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Vol. 31. Issue 3.
Pages 189-194 (May - June 2021)
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Vol. 31. Issue 3.
Pages 189-194 (May - June 2021)
Evidence-based nursing. Review
Literature review of nasal lavage technique in paediatrics
Revisión narrativa de la técnica de los lavados nasales en pediatría
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Ana Martínez-Serranoa,
Corresponding author
anams.ovi@gmail.com

Corresponding author.
, Paloma Martínez-Camposb, Laura Seijoso-Gonzálezb, Héctor Ruiz-Rojoc
a Urgencias Pediátricas, Hospital La Paz, Madrid, Spain
b Enfermería Pediátrica, Hospital La Paz, Madrid, Spain
c Unidad de Hospitalización de Pediatría, Hospital Río Carrión, Palencia, Spain
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Tables (2)
Table 1. Summary of the characteristics of the selected studies.
Table 2. Summary of levels of evidence and degree of recommendation in the results synthesis.
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Abstract
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 synthesise 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

Eleven 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.

Keywords:
Paediatrics
Respiratory tract infections
Bronchiolitis
Nasal lavage (process)
Resumen
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.

Palabras clave:
Pediatría
Infecciones del sistema respiratorio
Bronquiolitis
Lavado nasal (proceso)

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