Grand Rounds: Bronchiolitis and Value: Aligning Care for a Common Diagnosis

Objectives (Educational Content) :

1. Describe high value care and how it relates to bronchiolitis.

2. Analyze evidence and epidemiology surrounding high flow nasal canula and bronchiolitis.

3. Examine the evidence related to viral testing in bronchiolitis.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Healthcare providers may have limited familiarity with the current evidence surrounding the use of High-Flow Nasal Cannula (HFNC) in bronchiolitis, including its epidemiological trends and how it compares to invasive and non-invasive ventilation strategies. These gaps can lead to inconsistent clinical decision-making and variability in care.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

10-02-2026

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The following presenter has indicated that there are no financial relationships with any ineligible companies: Jonathan H. Pelletier, MD, MS Samantha Gunkelman, MD The following planning committee member has indicated that a financial relationship with an ineligible company: Merck - Maria Victorio, MD All relationships have been mitigated. The remaining planning committee/CME committee members have indicated that they have no financial relationships with any ineligible companies.

Accreditation Statement:

Akron Children’s Hospital is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

Akron Children’s Hospital designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

1. Elizabeth R. Wolf, Alicia Richards, Martin Lavallee, Roy T. Sabo, Alan R. Schroeder, Matthew Schefft, Alex H. Krist; Patient, Provider, and Health Care System Characteristics Associated With Overuse in Bronchiolitis. Pediatrics October 2021; 148 (4): e2021051345. 10.1542/peds.2021-051345

2. Bakkum K, Pelletier J, Rajbhandari P. Hospital Variations and Temporal Trends in Procalcitonin Use for Patients With Bronchiolitis. Hosp Pediatr. 2024 Oct 1;14(10):806-814. doi: 10.1542/hpeds.2023-007631. PMID: 39290182.