Three RCTs (N=54, 20, and 13) found that in moderate to severe croup, treatment with nebulized racemic epinephrine
improved croup score within 10 to 30 minutes.
35 Epinephrine-impregnated retraction cord contains 8 percent racemic epinephrine
The AHRQ (2003) recommends additional, large, well-designed studies be conducted before evidence-based recommendations can be made for the use of albuterol, racemic epinephrine
, or corticosteroids in the management of RSV infections.
may be more effective in premature than in full-term infants who are hospitalized for bronchiolitis, a chart review suggests.
Perhaps the most frequently ordered therapeutic intervention for the croup patients is the administration of nebulized racemic epinephrine
was studied against beta-2-agonists in 8 randomized controlled trials of 660 infants.
combined with inhaled steroids works immediately and is extremely effectively.
The gel formulation of LET contains 10 mL of injectable lidocaine 20%, 5 mL of racemic epinephrine
Albuterol * Airet, Proventil, Ventolin, Volmax Ipratropium * Apo-Ipravent, Atrovent, Kendral-Ipratropium Racemic epinephrine
* micoNephrine,Vaponefrin Ribavirin * Copegus, Rebetol, Virazole
The only inhalation drugs that are mentioned in this section are albuterol, acetylcysteine cromolyn sodium and racemic epinephrine
In the hospital, the patient was treated with alternating albuterol and racemic epinephrine
aerosols in addition to a systemic steroid, but relief was minimal.
If the stridor is severe enough, racemic epinephrine
is given to the child.
Heliox may have a beneficial effect when used to deliver racemic epinephrine
to young children with bronchiolltis, suggest the results of a randomized controlled trial.
He was administered racemic epinephrine
, intravenous steroids, and heliox and fitted with bilateral nasal trumpets.