RECENT ADVANCES IN THE TREATMENT OF BRONCHIOLITIS AND LARYNGITIS

This article describes recent evidence that epinephrine is effective i n treating children with bronchiolitis; however, there is no evidence from studies to support the use of glucocorticoids for bronchiolitis. Administering glucocorticoids to patients with croup results in a fast er resolution of symptoms, a lower probability of hospital admission, and a faster discharge rate from the emergency department. Either L-ep inephrine or racemic epinephrine can be used for patients with croup w ithout the automatic need for hospital admission, provided they are ob served in the emergency department for a period of time.