Page last updated: 2024-10-18

racepinephrine and Asthma, Bronchial

racepinephrine has been researched along with Asthma, Bronchial in 7 studies

Racepinephrine: A racemic mixture of d-epinephrine and l-epinephrine.
4-[1-hydroxy-2-(methylamino)ethyl]benzene-1,2-diol : A catecholamine in which the aminoethyl side-chain is hydroxy-substituted at C-1 and methylated on nitrogen.

Research Excerpts

ExcerptRelevanceReference
", an "Asthma alert'') and to revise the indications, warnings, and directions in the labeling of products containing the ingredients ephedrine, ephedrine hydrochloride, ephedrine sulfate, epinephrine, epinephrine bitartrate, racephedrine hydrochloride, and racepinephrine hydrochloride."3.77Labeling for bronchodilators to treat asthma; cold, cough, allergy, bronchodilator, and antiasthmatic drug products for over-the-counter human use. Final rule. ( , 2011)
" The highest dose used in the dose-response trials (=0."2.65Inhalation of racemic epinephrine in children with asthma. Dose-response relation and comparison with salbutamol. ( Kjellman, B; Tollig, H; Wettrell, G, 1980)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19902 (28.57)18.7374
1990's0 (0.00)18.2507
2000's4 (57.14)29.6817
2010's1 (14.29)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Grewal, S1
Ali, S1
McConnell, DW1
Vandermeer, B1
Klassen, TP2
Hyvärinen, MK1
Kotaniemi-Syrjänen, A1
Reijonen, TM1
Korhonen, K1
Kiviniemi, V1
Korppi, M1
Wiebe, K1
Rowe, BH1
Postma, DS1
Jones, RO1
Pillsbury, HC1
Kjellman, B1
Tollig, H1
Wettrell, G1
Plint, AC1
Osmond, MH1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Trial of Nebulized 3% Hypertonic Saline With Salbutamol in the Treatment of Acute Bronchiolitis in Pediatric Hospital[NCT02233985]Phase 464 participants (Actual)Interventional2013-08-31Completed
Nebulized Hypertonic Saline for Acute Bronchiolitis in the Emergency Department[NCT01247064]Phase 462 participants (Actual)Interventional2010-10-31Completed
Prophylactic Racemic Epinephrine for the Prevention of Dysphagia in Patients Undergoing Anterior Cervical Discectomy and Fusion: A Randomized Control Trial[NCT02724761]90 participants (Anticipated)Interventional2016-09-30Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Hours of Hospital Stay

Each patient record the time of entry and measured the total hospital stay time in hours, recording the time of discharge to determine the total stay in hours. The hospital stay will be evaluated in hours. Staying hospitalized until they had mild respiratory stage scale scores for at least 2 hrs. (NCT02233985)
Timeframe: Throughout the stay for each patient until discharge. Follow-up will be continued for a period of 30 days in which they may present readmissions, complications or adverse effects.

Interventionhours (Median)
Hypertonic Saline Solution 3% (SHS 3%)8
Saline Solution 0.9% (SS 0.9%) Group39.3

Score Respiratory Distress

It is a validated clinical scale, sufficiently reliable measure of Severity of the respiratory distress. It consists of the summation score of the sibilance / crackling parameters (the largest of them), respiratory effort, pulmonary air inlet, oxygen saturation, heart rate and breathing rate. It is stratified into 3 levels of severity: mild from 0 to 5 points, moderate from 6 to 10 and severe from 10 to 16. (NCT02233985)
Timeframe: Basal, 30 minutes after the end of the first 3 continuous nebulization sessions, at 4 hours, 8 hours and every 24 hours during the entire hospital stay

,
Interventionunits on a scale (Median)
Basal30 minutes4 hours8 hours12 hours24 hours48 hours72 hours96 hours120 hours144 hours196 hours
Hypertonic Saline Solution 3% (HSS 3%) Group865330000000
Saline Solution 0.9% (SS 0.9%) Group888877765364

Oxygen Saturation Change

(NCT01247064)
Timeframe: Baseline and 1 hour

Interventionpercent (Mean)
Nebulized 3% Saline1.1
Nebulized 0.9% Normal Saline0.1

Parental Perception of Improvement of Breathing After Study Medication

(NCT01247064)
Timeframe: 1 hour

Interventionpercentage of participants (Number)
Nebulized 3% Saline50
Nebulized 0.9% Normal Saline54.8

Rate of Hospitalization

(NCT01247064)
Timeframe: 1 day

Interventionpercentage of participants (Number)
Nebulized 3% Saline71
Nebulized 0.9% Normal Saline64.5

Respiratory Assessment Change Score (RACS)

The Respiratory Assessment Change Score (RACS) assesses change in respiratory status using the change in the Respiratory Distress Assessment Instrument (RDAI) and a standardized change in respiratory rate, with points being assigned by change increments of 10%. Thus, a change in respiratory rate of ≤5% from baseline counted as a change of 0 units, decrease/increase of 6% to 15% counted as improvement/deterioration of 1 unit, etc. The overall RACS is the arithmetic sum of the RDAI change and the standardized respiratory rate change between assessments with a decrease in RACS signifying improvement. (NCT01247064)
Timeframe: Baseline and 1 hour

Interventionunits on a scale (Mean)
Nebulized 3% Saline-1.5
Nebulized 0.9% Normal Saline-4

Respiratory Rate Change

(NCT01247064)
Timeframe: Baseline and 1 hour

Interventionbreaths per minute (Mean)
Nebulized 3% Saline-1.8
Nebulized 0.9% Normal Saline-9.8

Reviews

1 review available for racepinephrine and Asthma, Bronchial

ArticleYear
Nebulized racemic epinephrine used in the treatment of severe asthmatic exacerbation: a case report and literature review.
    CJEM, 2007, Volume: 9, Issue:4

    Topics: Acute Disease; Adult; Asthma; Bronchodilator Agents; Epinephrine; Female; Humans; Nebulizers and Vap

2007

Trials

4 trials available for racepinephrine and Asthma, Bronchial

ArticleYear
A randomized trial of nebulized 3% hypertonic saline with epinephrine in the treatment of acute bronchiolitis in the emergency department.
    Archives of pediatrics & adolescent medicine, 2009, Volume: 163, Issue:11

    Topics: Acute Disease; Age Factors; Asthma; Bronchiolitis, Viral; Bronchodilator Agents; Double-Blind Method

2009
A randomized trial of nebulized 3% hypertonic saline with epinephrine in the treatment of acute bronchiolitis in the emergency department.
    Archives of pediatrics & adolescent medicine, 2009, Volume: 163, Issue:11

    Topics: Acute Disease; Age Factors; Asthma; Bronchiolitis, Viral; Bronchodilator Agents; Double-Blind Method

2009
A randomized trial of nebulized 3% hypertonic saline with epinephrine in the treatment of acute bronchiolitis in the emergency department.
    Archives of pediatrics & adolescent medicine, 2009, Volume: 163, Issue:11

    Topics: Acute Disease; Age Factors; Asthma; Bronchiolitis, Viral; Bronchodilator Agents; Double-Blind Method

2009
A randomized trial of nebulized 3% hypertonic saline with epinephrine in the treatment of acute bronchiolitis in the emergency department.
    Archives of pediatrics & adolescent medicine, 2009, Volume: 163, Issue:11

    Topics: Acute Disease; Age Factors; Asthma; Bronchiolitis, Viral; Bronchodilator Agents; Double-Blind Method

2009
Responses to inhaled bronchodilators in infancy are not linked with asthma in later childhood.
    Pediatric pulmonology, 2006, Volume: 41, Issue:5

    Topics: Albuterol; Asthma; Bronchoconstriction; Bronchodilator Agents; Child; Child, Preschool; Cross-Over S

2006
Inhalation of racemic epinephrine in children with asthma. Dose-response relation and comparison with salbutamol.
    Allergy, 1980, Volume: 35, Issue:7

    Topics: Acute Disease; Administration, Intranasal; Adolescent; Albuterol; Asthma; Child; Dose-Response Relat

1980
The efficacy of nebulized racemic epinephrine in children with acute asthma: a randomized, double-blind trial.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2000, Volume: 7, Issue:10

    Topics: Administration, Inhalation; Adolescent; Albuterol; Asthma; Bronchodilator Agents; Child; Child, Pres

2000

Other Studies

2 other studies available for racepinephrine and Asthma, Bronchial

ArticleYear
Labeling for bronchodilators to treat asthma; cold, cough, allergy, bronchodilator, and antiasthmatic drug products for over-the-counter human use. Final rule.
    Federal register, 2011, Jul-26, Volume: 76, Issue:143

    Topics: Anti-Allergic Agents; Anti-Asthmatic Agents; Antitussive Agents; Asthma; Bronchodilator Agents; Comm

2011
Severe hospitalized croup: treatment trends and prognosis.
    The Laryngoscope, 1984, Volume: 94, Issue:9

    Topics: Aerosols; Asthma; Croup; Dexamethasone; Epinephrine; Female; Follow-Up Studies; Hospitalization; Hum

1984