Paediatric nasal irrigation: The “fencing” method - 10/03/21
, M. Kérimian a, b, T. Sagardoy a, b, A. Verdaguer c, H. Gauchez d| pages | 7 |
| Iconographies | 4 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Nasal irrigation is a grade A recommendation treatment, which is essential in many pathological conditions. Very heterogeneous practices are observed in paediatrics as a result of poor instruction in this technique. We propose to describe the nasal irrigation technique developed by a team of respiratory physiotherapists in Lille for the management of cystic fibrosis and bronchiolitis. This technique is intended for children over the age of 6 months, as it requires an oral breathing reflex and cough reflex that are not systematically acquired before this age. Nasal irrigation is performed on a 30° upward inclined plane on a calm and cooperative child, away from meals. The child is maintained gently, without pressure, in the fencing position with the head turned away from the practitioner. Using a continuous flow spray, the practitioner grasps the top of the upper nostril and irrigates the nostril for an average of 3 s (6mL per nostril). These steps are then repeated until satisfactory patency is achieved in both nostrils. This technique constitutes a practical tool to help healthcare professionals and parents perform nasal irrigation in young children over the age of 6 months.
Le texte complet de cet article est disponible en PDF.Keywords : Nasal irrigation, Nasal lavage, Nasal spray, Nasal obstruction, Infection
Plan
Vol 138 - N° 2
P. 107-113 - mars 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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