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Table 4 Bronchiolitis severity

From: UPDATE - 2022 Italian guidelines on the management of bronchiolitis in infants

 

Mild

Moderate

Severe

Respiratory rate

Normal to slightly increased

Increase

Markedly increased compared to normal values per age range

(< 2 months: <60/min)

(2-12 months: <50/min)

Respiratory effort

Mild chest wall retraction

Tracheal tug

Nasal Flare

Moderate chest wall retraction

Marked chest wall retraction

Nasal Flare

Grunting

Oxygen saturation

No supplemental oxygen requirement, O2 saturation > 95%

O2 saturation 90-95%

O2 saturation < 90%, may not be corrected by O2

Feeding

Normal to slightly decreased

50-75% of normal feeds

< 50% of feeds, unable to feed

Apnea

Absent

May have brief episodes

May have increasing episodes