Abstract
Objective: To summarize the best evidence on the management of
aerosol inhalation in children, and to provide reference for clinical
practice. Methods: According to the ‘6S’ model of evidence
resources, systematically searched British Medical Journal Best Practice
(BMJ Best Practice), PubMed, American Clinical Guidelines Network
(AHRQ), Scottish Intercollegiate Guidelines Network Guidelines Library
(SIGN), and international guideline books. Library (GIN), Canadian
Medical Association Clinical Practice Guidelines Repository (CMACPG),
National Health and Medical Research Council Australia Guidelines
Repository (NHMRC), National Institute for Health and Clinical
Excellence Guidelines Repository (NICE), Evidence-Based Medicine Library
(Cochrane Library), Netherlands Medical Abstracts Database (Embase),
Ovid-Medline, EBSCO-CINAHL, JBI, Registered Nurses Association of
Ontario, European Society of Respiratory Therapy, American Society of
Respiratory Therapy, Wanfang, VIP, CNKI, Medlive(Yi Mai Tong), and Sino
Med. The literature resources include clinical practice guidelines,
expert consensus, evidence summary, and systematic review of children’s
aerosol inhalation. Two researchers independently conducted quality
evaluation, evidence extraction, and evidence integration of the
literature. Results: A total of 11 papers were included,
including 2 guidelines, 6 expert consensus papers, 1 systematic review,
and 2 evidence summaries; finally, 6 evidence themes were formed:
principles of aerosol drug use, selection of aerosol devices, effects of
aerosolization factors of nebulization effect, management during
nebulization treatment, infection control; a total of 34 evidence
opinions. Conclusion: The summarized evidence on children’s
aerosol inhalation can be applied to clinical practice according to the
actual clinical situation, promote the standardized management of
children’s aerosol inhalation, and improve the therapeutic effect of
aerosolization.