Page last updated: 2024-10-18

racepinephrine and Bronchiolitis

racepinephrine has been researched along with Bronchiolitis in 19 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.

Bronchiolitis: Inflammation of the BRONCHIOLES.

Research Excerpts

ExcerptRelevanceReference
"To compare nebulized racemic epinephrine delivered by 70% helium and 30% oxygen or 100% oxygen followed by helium-oxygen inhalation therapy via high-flow nasal cannula (HFNC) vs oxygen inhalation via HFNC in the treatment of bronchiolitis."9.15Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial. ( Corcoran, T; Gracely, E; Kim, IK; Pendleton, J; Phrampus, E; Saville, A; Sikes, K; Venkataraman, S, 2011)
"In children up to the 18th month of life, ED treatment of bronchiolitis with nebulized racemic albuterol led to more successful discharges than nebulized epinephrine."9.13Comparison of nebulized epinephrine to albuterol in bronchiolitis. ( Caldwell, J; Friese, S; McQuillan, KK; Robbins, D; Rothenberg, SJ; Walsh, P, 2008)
"To determine if nebulized epinephrine is more efficacious than nebulized albuterol in the emergency department (ED) treatment of moderately ill infants with bronchiolitis."9.11A randomized trial of nebulized epinephrine vs albuterol in the emergency department treatment of bronchiolitis. ( Bechtel, KA; Carlin, T; Ferri, LR; Gracely, EJ; Mull, CC; Rissman, RL; Salvaggio, C; Scarfone, RJ; Trephan, MA, 2004)
"Our objective was to determine if nebulized racemic epinephrine is more efficacious than nebulized albuterol or saline placebo in the treatment of bronchiolitis in the outpatient setting when dosing is equivalent in terms of beta-2 agonist potency."9.11Randomized, placebo-controlled trial of albuterol and epinephrine at equipotent beta-2 agonist doses in acute bronchiolitis. ( Anaya, T; Hartenberger, C; Kelly, HW; Qualls, C; Ralston, S, 2005)
"To investigate whether nebulized racemic epinephrine or albuterol improves respiratory distress in infants with acute bronchiolitis."9.08The clinical efficacy of nebulized racemic epinephrine and albuterol in acute bronchiolitis. ( Korppi, M; Pitkäkangas, S; Reijonen, T; Remes, K; Tenhola, S, 1995)
"To compare nebulized racemic epinephrine delivered by 70% helium and 30% oxygen or 100% oxygen followed by helium-oxygen inhalation therapy via high-flow nasal cannula (HFNC) vs oxygen inhalation via HFNC in the treatment of bronchiolitis."5.15Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial. ( Corcoran, T; Gracely, E; Kim, IK; Pendleton, J; Phrampus, E; Saville, A; Sikes, K; Venkataraman, S, 2011)
"In children up to the 18th month of life, ED treatment of bronchiolitis with nebulized racemic albuterol led to more successful discharges than nebulized epinephrine."5.13Comparison of nebulized epinephrine to albuterol in bronchiolitis. ( Caldwell, J; Friese, S; McQuillan, KK; Robbins, D; Rothenberg, SJ; Walsh, P, 2008)
"To determine if nebulized epinephrine is more efficacious than nebulized albuterol in the emergency department (ED) treatment of moderately ill infants with bronchiolitis."5.11A randomized trial of nebulized epinephrine vs albuterol in the emergency department treatment of bronchiolitis. ( Bechtel, KA; Carlin, T; Ferri, LR; Gracely, EJ; Mull, CC; Rissman, RL; Salvaggio, C; Scarfone, RJ; Trephan, MA, 2004)
"Our objective was to determine if nebulized racemic epinephrine is more efficacious than nebulized albuterol or saline placebo in the treatment of bronchiolitis in the outpatient setting when dosing is equivalent in terms of beta-2 agonist potency."5.11Randomized, placebo-controlled trial of albuterol and epinephrine at equipotent beta-2 agonist doses in acute bronchiolitis. ( Anaya, T; Hartenberger, C; Kelly, HW; Qualls, C; Ralston, S, 2005)
"To investigate whether nebulized racemic epinephrine or albuterol improves respiratory distress in infants with acute bronchiolitis."5.08The clinical efficacy of nebulized racemic epinephrine and albuterol in acute bronchiolitis. ( Korppi, M; Pitkäkangas, S; Reijonen, T; Remes, K; Tenhola, S, 1995)
"During our intervention period, the percentage of bronchiolitis patients receiving at least 1 dose of racemic epinephrine to treat bronchiolitis decreased from an average of 26% to 5%, and similarly, albuterol use decreased from an average of 48% to 34%."3.88Decreasing Racemic Epinephrine for Bronchiolitis in an Academic Children's Hospital. ( Chumpia, M; McCoy, E, 2018)
"In the treatment of acute bronchiolitis in infants, inhaled racemic adrenaline is not more effective than inhaled saline."2.78Racemic adrenaline and inhalation strategies in acute bronchiolitis. ( Brügmann-Pieper, SK; Brun, AC; Carlsen, KH; Engen, H; Eskedal, L; Haavaldsen, M; Hunderi, JO; Kvenshagen, B; Lunde, J; Lødrup Carlsen, KC; Mowinckel, P; Rolfsjord, LB; Siva, C; Skjerven, HO; Vikin, T, 2013)
"Bronchiolitis is the most common cause of lower respiratory tract illness in infancy, and hospital admission rates appear to be increasing in Canada and the United States."2.71Racemic epinephrine compared to salbutamol in hospitalized young children with bronchiolitis; a randomized controlled clinical trial [ISRCTN46561076]. ( Joudrey, H; Langley, JM; LeBlanc, JC; Ojah, CR; Pianosi, P; Smith, MB, 2005)
" Future studies need to examine dosing of glucocorticoids for inpatients with croup."2.40Recent advances in the treatment of bronchiolitis and laryngitis. ( Klassen, TP, 1997)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (21.05)18.2507
2000's8 (42.11)29.6817
2010's6 (31.58)24.3611
2020's1 (5.26)2.80

Authors

AuthorsStudies
Klem, N1
Skjerven, HO2
Nilsen, B1
Brekke, M1
Vallersnes, OM1
Palmu, S1
Mecklin, M1
Heikkilä, P1
Backman, K1
Peltola, V1
Renko, M1
Korppi, M2
McCoy, E1
Chumpia, M1
Hunderi, JO1
Brügmann-Pieper, SK1
Brun, AC1
Engen, H1
Eskedal, L1
Haavaldsen, M1
Kvenshagen, B1
Lunde, J1
Rolfsjord, LB1
Siva, C1
Vikin, T1
Mowinckel, P1
Carlsen, KH3
Lødrup Carlsen, KC3
Fernandes, RM1
Alverson, B1
McCulloh, RJ1
Dawson-Hahn, E1
Smitherman, SE1
Koehn, KL1
Kim, IK1
Phrampus, E1
Sikes, K1
Pendleton, J1
Saville, A1
Corcoran, T1
Gracely, E1
Venkataraman, S1
Hariprakash, S1
Alexander, J1
Carroll, W1
Ramesh, P1
Randell, T1
Turnbull, F1
Lenney, W1
Guill, MF1
Mull, CC1
Scarfone, RJ1
Ferri, LR1
Carlin, T1
Salvaggio, C1
Bechtel, KA1
Trephan, MA1
Rissman, RL1
Gracely, EJ1
Langley, JM1
Smith, MB1
LeBlanc, JC1
Joudrey, H1
Ojah, CR1
Pianosi, P1
Ralston, S1
Hartenberger, C1
Anaya, T1
Qualls, C1
Kelly, HW1
Waseem, M1
Walsh, P1
Caldwell, J1
McQuillan, KK1
Friese, S1
Robbins, D1
Rothenberg, SJ1
Reijonen, T1
Pitkäkangas, S1
Tenhola, S1
Remes, K1
Kristjánsson, S1
Wennergren, G1
Strannegård, IL1
Sanchez, I1
De Koster, J1
Powell, RE1
Wolstein, R1
Chernick, V1
Klassen, TP1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Bronchiolitis All-study, SE-Norway What is the Optimal Inhalation Treatment for Children 0-12 Months With Acute Bronchiolitis?[NCT00817466]Phase 4500 participants (Anticipated)Interventional2010-01-31Active, not recruiting
Helium-oxygen Gas Mixtures Delivered by a High Flow Nasal Cannula in Bronchiolitis[NCT02373683]10 participants (Actual)Interventional2014-12-31Terminated
The Use of Heliox Driven Racemic Epinephrine Nebulization in the Treatment of Moderate to Severe Bronchiolitis in Pediatric Emergency Department Patients[NCT00116584]Phase 372 participants (Actual)Interventional2004-12-31Completed
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
Randomized Controlled Trial of Epinephrine and Albuterol in Bronchiolitis[NCT00114478]600 participants Interventional2003-11-30Active, not recruiting
"Are Steroids Efficacious in Hospitalized Patients With Bronchiolitis Who Show an Objective Clinical Improvement After Albuterol (Albuterol Responders)?"[NCT00798616]0 participants (Actual)InterventionalWithdrawn (stopped due to We were unable to enroll a sufficient number of patients due to manpower.)
High-Flow Nasal Cannula Flow Titration and Effort of Breathing in the Pediatric Intensive Care Unit[NCT02793674]21 participants (Actual)Interventional2014-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Modified Wood's Clinical Asthma Score (M-WCAS) From Baseline to 240 Minutes

The Modified Wood's clinical Asthma Score is a score to measure severity of Asthma in children. There are 5 variables measured: oxygen saturation, inspiratory breath sounds, expiratory wheezing, accessory muscle involvement and cerebral function. Each variable is given a score of 0, 0.5, 1 or 2 with 2 being the most severe. The scores are combined from each variable to give a total. Total score ranges from 0 to 10, with a score of 10 (higher the score) indicating a worse outcome. We are reporting the degree of improvement in M-WCAS after assigned treatment. (NCT00116584)
Timeframe: 240 Minutes

Interventionunits on a scale (Mean)
Heliox1.84
Oxygen.031

Change in Modified Wood's Clinical Bronchiolitis Score (MWCBS) Between Oxygen and Heliox Groups at Various Times

The Modified Wood's Clinical Bronchiolitis Score is based on a rating of saturated oxygen, inspiratory breath sounds, expiratory wheezing, accessory muscle use, cerebral function and wheezing. Each variable is rated 0, 0.5, 1, or 2. The total range of score is 0 to 2, with 2 (higher the score) indicating a worse outcome. For this outcome, a negative difference between groups represents an improvement. (NCT00116584)
Timeframe: 0, 60, 120, 180 and 240 min

,
Interventionunits on a scale (Mean)
Differenceof MWCBS at 0 minsDifference of MWCBS at 60 minsDifference of MWCBS at 120 minsDifference of MWCBS at 180 minsDifference of MWCBS at 240 mins
Heliox-0.330.540.770.941.20
Oxygen00000

Change in Respiratory Distress Assessment Instrument (RDAI) Scores in Oxygen and Heliox Groups at Different Times

The RDAI is an assessment instrument for respiratory distress. Patients are assigned a point value based on Wheezing (on expiration, inspiration and location) and Retractions (local of supraclavicular, intercostal and subcostal). Each subcategory is assigned a value of 0-4. The subscores are summed to give a total score for each variable (wheezing and retractions). The total score range for wheezing is 0 to 8, with 8 (higher the score) indicating a worse outcome. The total score range for retractions is 0 to 9, with 9 (higher the score) indicating a worse outcome. We are reporting the difference in score between the groups at various times, not a change from an earlier time. A positive value represents an improvement in the Heliox vs the Oxygen groups. (NCT00116584)
Timeframe: 0, 60, 120, 180 and 240 mins

,
Interventionunits on a scale (Mean)
Difference between RDAI at 0 minDifference of RDAI at 60 minsDifference of RDAI at 120 minsDifference of RDAI at 180 minsDifference of RDAI at 240 mins
Heliox-0.481.802.923.003.29
Oxygen00000

Maximum Percent Change in Pressure-rate Product (PRP) From Baseline as a Function of Increasing HFNC Flow Rate, Comparing Weight-Stratified Subgroups on Both Types of HFNC Delivery System (FP and VT)

"Exploratory analysis of patients by further stratified weight groupings (<5 kg, 5-8 kg, and >8 kg) was performed to determine the greatest observed benefit of HFNC flow titration in patients of different sizes. For this outcome, the maximum percent change in PRP was obtained for all titrations on both types of HFNC delivery system (FP and VT).~It was not pre-specified to compare the two different HFNC delivery systems." (NCT02793674)
Timeframe: median of the maximum percent change in PRP over a 5 minute period

Interventionpercent (Median)
<5 kg5-8 kg>8 kg
Maximum Percent Change in PRP From Baseline Stratified by Wt-46-30-17

Percent Change in Pressure-rate Product (PRP) as a Function of Increasing HFNC Flow Rate on Both Types of HFNC Delivery System (FP and VT)

"PRP is a validated objective metric of effort of breathing which is derived from the product of the peak-to-trough change in esophageal pressure (in cmH20) and the respiratory rate (breaths per minute).~The percent change in PRP is derived from the quotient of the absolute PRP at increased HFNC flow rates (1.0, 1.5, and 2.0 L/kg/min) divided by the absolute PRP at a baseline HFNC flow rate (0.5 L/kg/min). Percent change in PRP was used because a) there was a large degree of heterogeneity in baseline absolute PRP values in our study population based upon patient size, disease severity, and time point of illness, and b) we allowed for repeated measures on the same patient which would bias absolute PRP values in favor of those who were measured more frequently.~It was not pre-specified to compare the two different HFNC delivery systems." (NCT02793674)
Timeframe: median percent change in PRP over 5 minute measurement period

Interventionpercent change in PRP (Median)
Percent Change in PRP at 1.0 L/kg/minPercent Change in PRP at 1.5 L/kg/minPercent Change in PRP at 2.0 L/kg/min
Percent Change in Pressure-Rate Product-10-20-23

Percent Change in Pressure-rate Product (PRP) From Baseline as a Function of Increasing HFNC Flow Rate, Comparing Different HFNC Delivery Systems

For this outcome, a subgroup of patients (N=12) were examined who had PRP measurements obtained on two different HFNC delivery systems (Fisher & Paykel (FP) and Vapotherm (VT)) in back-to-back flow titration periods. With one exception, patients were first studied on the FP and then transitioned to the VT HFNC delivery system. (NCT02793674)
Timeframe: median PRP over a 5 minute period

,
Interventionpercent change in PRP (Median)
1.0 L/kg/min1.5 L/kg/min2.0 L/kg/min
Fisher & Paykel HFNC Delivery System-15-19-23
Vapotherm HFNC Delivery System-9-22-11

Percent Change in Pressure-rate Product (PRP) From Baseline as a Function of Increasing HFNC Flow Rate, Comparing Weight-Stratified Subgroups on Both Types of HFNC Delivery System (FP and VT)

"To assess the relationship between patient size and dose-response of HFNC flow rate, we compared subgroups stratified by weight (patients <8 kg and >8 kg). For this outcome, the median percent change in PRP was obtained for all titrations on both types of HFNC delivery system (FP and VT).~It was not pre-specified to compare the two different HFNC delivery systems." (NCT02793674)
Timeframe: medain percent change in PRP over a 5 minute period

,
Interventionpercent change in PRP from baseline (Median)
1.0 L/kg/min1.5 L/kg/min2.0 L/kg/min
Greater Than 8 kg-5-2-15
Less Than or Equal to 8 kg-14-27-25

Phase Angle as a Function of Increasing HFNC Flow Rate on Both Types of HFNC Delivery System (FP and VT)

"Phase angle is a measure of asynchrony between thoracic and abdominal breathing compartments that has correlated with increased effort of breathing. It is derived by measuring the relative expansion of these two breathing compartments and describing the synchrony between them as an angle (theta). For this outcome, the phase angle was obtained for all titrations on both types of HFNC delivery system (FP and VT).~It was not pre-specified to compare the two different HFNC delivery systems." (NCT02793674)
Timeframe: median phase angle over a 5 minute period

Interventiondegrees (Median)
0.5 L/kg/min1.0 L/kg/min1.5 L/kg/min2.0 L/kg/min
Phase Angle61616859

Pressure-rate Product (PRP) as a Function of Increasing HFNC Flow Rate on Both Types of HFNC Delivery System (FP and VT)

"PRP is a validated objective metric of effort of breathing which is derived from the product of the peak-to-trough change in esophageal pressure (in cmH20) and the respiratory rate (breaths per minute). These values were obtained from 5 minute flow titration periods. For this outcome, the PRP was obtained for all titrations on both types of HFNC delivery system (FP and VT).~It was not pre-specified to compare the two different HFNC delivery systems." (NCT02793674)
Timeframe: median PRP over a 5 minute period

InterventioncmH20 * breaths/minute (Median)
PRP at 0.5 L/kg/minPRP at 1.0 L/kg/minPRP at 1.5 L/kg/minPRP at 2.0 L/kg/min
Pressure-Rate Product824699596594

Reviews

1 review available for racepinephrine and Bronchiolitis

ArticleYear
Recent advances in the treatment of bronchiolitis and laryngitis.
    Pediatric clinics of North America, 1997, Volume: 44, Issue:1

    Topics: Acute Disease; Bronchiolitis; Bronchodilator Agents; Child, Preschool; Epinephrine; Glucocorticoids;

1997

Trials

10 trials available for racepinephrine and Bronchiolitis

ArticleYear
Racemic adrenaline and inhalation strategies in acute bronchiolitis.
    The New England journal of medicine, 2013, Jun-13, Volume: 368, Issue:24

    Topics: Acute Disease; Administration, Inhalation; Age Factors; Bronchiolitis; Combined Modality Therapy; Do

2013
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
    Archives of pediatrics & adolescent medicine, 2011, Volume: 165, Issue:12

    Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu

2011
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
    Archives of pediatrics & adolescent medicine, 2011, Volume: 165, Issue:12

    Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu

2011
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
    Archives of pediatrics & adolescent medicine, 2011, Volume: 165, Issue:12

    Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu

2011
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
    Archives of pediatrics & adolescent medicine, 2011, Volume: 165, Issue:12

    Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu

2011
Randomized controlled trial of nebulized adrenaline in acute bronchiolitis.
    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2003, Volume: 14, Issue:2

    Topics: Acute Disease; Administration, Inhalation; Bronchiolitis; Bronchodilator Agents; Double-Blind Method

2003
A randomized trial of nebulized epinephrine vs albuterol in the emergency department treatment of bronchiolitis.
    Archives of pediatrics & adolescent medicine, 2004, Volume: 158, Issue:2

    Topics: Acute Disease; Administration, Inhalation; Albuterol; Bronchiolitis; Bronchodilator Agents; Double-B

2004
Racemic epinephrine compared to salbutamol in hospitalized young children with bronchiolitis; a randomized controlled clinical trial [ISRCTN46561076].
    BMC pediatrics, 2005, May-05, Volume: 5, Issue:1

    Topics: Administration, Inhalation; Albuterol; Bronchiolitis; Bronchodilator Agents; Child, Preschool; Doubl

2005
Randomized, placebo-controlled trial of albuterol and epinephrine at equipotent beta-2 agonist doses in acute bronchiolitis.
    Pediatric pulmonology, 2005, Volume: 40, Issue:4

    Topics: Acute Disease; Adrenergic beta-Agonists; Albuterol; Bronchiolitis; Double-Blind Method; Epinephrine;

2005
Comparison of nebulized epinephrine to albuterol in bronchiolitis.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2008, Volume: 15, Issue:4

    Topics: Acute Disease; Administration, Inhalation; Albuterol; Bronchiolitis; Bronchodilator Agents; Double-B

2008
The clinical efficacy of nebulized racemic epinephrine and albuterol in acute bronchiolitis.
    Archives of pediatrics & adolescent medicine, 1995, Volume: 149, Issue:6

    Topics: Acute Disease; Albuterol; Bronchiolitis; Double-Blind Method; Epinephrine; Female; Heart Rate; Human

1995
Nebulised racemic adrenaline in the treatment of acute bronchiolitis in infants and toddlers.
    Archives of disease in childhood, 1993, Volume: 69, Issue:6

    Topics: Acute Disease; Administration, Inhalation; Blood Gas Monitoring, Transcutaneous; Blood Pressure; Bro

1993
Effect of racemic epinephrine and salbutamol on clinical score and pulmonary mechanics in infants with bronchiolitis.
    The Journal of pediatrics, 1993, Volume: 122, Issue:1

    Topics: Administration, Inhalation; Airway Resistance; Albuterol; Bronchiolitis; Double-Blind Method; Epinep

1993

Other Studies

8 other studies available for racepinephrine and Bronchiolitis

ArticleYear
Treatment for acute bronchiolitis before and after implementation of new national guidelines: a retrospective observational study from primary and secondary care in Oslo, Norway.
    BMJ paediatrics open, 2021, Volume: 5, Issue:1

    Topics: Administration, Inhalation; Bronchiolitis; Humans; Infant; Nebulizers and Vaporizers; Racepinephrine

2021
National treatment guidelines decreased the use of racemic adrenaline for bronchiolitis in four Finnish university hospitals.
    Acta paediatrica (Oslo, Norway : 1992), 2018, Volume: 107, Issue:11

    Topics: Administration, Inhalation; Bronchiolitis; Bronchodilator Agents; Finland; Hospitals, University; Hu

2018
Decreasing Racemic Epinephrine for Bronchiolitis in an Academic Children's Hospital.
    Hospital pediatrics, 2018, Volume: 8, Issue:10

    Topics: Administration, Inhalation; Albuterol; Bronchiolitis; Female; Hospitalization; Hospitals, Pediatric;

2018
On-demand, not scheduled, nebulization (epinephrine or saline) improves important clinical outcomes in hospitalized infants with bronchiolitis.
    The Journal of pediatrics, 2013, Volume: 163, Issue:5

    Topics: Bronchiolitis; Epinephrine; Female; Humans; Male; Racepinephrine; Sodium Chloride

2013
The clinical management of preterm infants with bronchiolitis.
    Hospital pediatrics, 2013, Volume: 3, Issue:3

    Topics: Adrenal Cortex Hormones; Albuterol; Anti-Bacterial Agents; Blood Gas Analysis; Bronchiolitis; Bronch

2013
Question from the clinician: racemic epinephrine for bronchiolitis.
    Pediatrics in review, 2003, Volume: 24, Issue:8

    Topics: Albuterol; Bronchiolitis; Emergencies; Epinephrine; Home Nursing; Humans; Infant; Racepinephrine

2003
Use of racemic epinephrine in bronchiolitis: what is the emergency physician's perspective?
    Chest, 2006, Volume: 129, Issue:4

    Topics: Attitude of Health Personnel; Bronchiolitis; Bronchodilator Agents; Emergency Service, Hospital; Epi

2006
Inhaled nebulized adrenaline improves lung function in infants with acute bronchiolitis.
    Respiratory medicine, 2000, Volume: 94, Issue:7

    Topics: Acute Disease; Administration, Inhalation; Adrenergic Agonists; Bronchiolitis; Epinephrine; Female;

2000