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.
Excerpt | Relevance | Reference |
---|---|---|
"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." | 9.15 | Helium-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." | 9.13 | Comparison 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." | 9.11 | A 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." | 9.11 | Randomized, 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." | 9.08 | The 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." | 5.15 | Helium-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." | 5.13 | Comparison 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." | 5.11 | A 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." | 5.11 | Randomized, 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." | 5.08 | The 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%." | 3.88 | Decreasing 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." | 2.78 | Racemic 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." | 2.71 | Racemic 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." | 2.40 | Recent advances in the treatment of bronchiolitis and laryngitis. ( Klassen, TP, 1997) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 4 (21.05) | 18.2507 |
2000's | 8 (42.11) | 29.6817 |
2010's | 6 (31.58) | 24.3611 |
2020's | 1 (5.26) | 2.80 |
Authors | Studies |
---|---|
Klem, N | 1 |
Skjerven, HO | 2 |
Nilsen, B | 1 |
Brekke, M | 1 |
Vallersnes, OM | 1 |
Palmu, S | 1 |
Mecklin, M | 1 |
Heikkilä, P | 1 |
Backman, K | 1 |
Peltola, V | 1 |
Renko, M | 1 |
Korppi, M | 2 |
McCoy, E | 1 |
Chumpia, M | 1 |
Hunderi, JO | 1 |
Brügmann-Pieper, SK | 1 |
Brun, AC | 1 |
Engen, H | 1 |
Eskedal, L | 1 |
Haavaldsen, M | 1 |
Kvenshagen, B | 1 |
Lunde, J | 1 |
Rolfsjord, LB | 1 |
Siva, C | 1 |
Vikin, T | 1 |
Mowinckel, P | 1 |
Carlsen, KH | 3 |
Lødrup Carlsen, KC | 3 |
Fernandes, RM | 1 |
Alverson, B | 1 |
McCulloh, RJ | 1 |
Dawson-Hahn, E | 1 |
Smitherman, SE | 1 |
Koehn, KL | 1 |
Kim, IK | 1 |
Phrampus, E | 1 |
Sikes, K | 1 |
Pendleton, J | 1 |
Saville, A | 1 |
Corcoran, T | 1 |
Gracely, E | 1 |
Venkataraman, S | 1 |
Hariprakash, S | 1 |
Alexander, J | 1 |
Carroll, W | 1 |
Ramesh, P | 1 |
Randell, T | 1 |
Turnbull, F | 1 |
Lenney, W | 1 |
Guill, MF | 1 |
Mull, CC | 1 |
Scarfone, RJ | 1 |
Ferri, LR | 1 |
Carlin, T | 1 |
Salvaggio, C | 1 |
Bechtel, KA | 1 |
Trephan, MA | 1 |
Rissman, RL | 1 |
Gracely, EJ | 1 |
Langley, JM | 1 |
Smith, MB | 1 |
LeBlanc, JC | 1 |
Joudrey, H | 1 |
Ojah, CR | 1 |
Pianosi, P | 1 |
Ralston, S | 1 |
Hartenberger, C | 1 |
Anaya, T | 1 |
Qualls, C | 1 |
Kelly, HW | 1 |
Waseem, M | 1 |
Walsh, P | 1 |
Caldwell, J | 1 |
McQuillan, KK | 1 |
Friese, S | 1 |
Robbins, D | 1 |
Rothenberg, SJ | 1 |
Reijonen, T | 1 |
Pitkäkangas, S | 1 |
Tenhola, S | 1 |
Remes, K | 1 |
Kristjánsson, S | 1 |
Wennergren, G | 1 |
Strannegård, IL | 1 |
Sanchez, I | 1 |
De Koster, J | 1 |
Powell, RE | 1 |
Wolstein, R | 1 |
Chernick, V | 1 |
Klassen, TP | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Bronchiolitis All-study, SE-Norway What is the Optimal Inhalation Treatment for Children 0-12 Months With Acute Bronchiolitis?[NCT00817466] | Phase 4 | 500 participants (Anticipated) | Interventional | 2010-01-31 | Active, not recruiting | ||
Helium-oxygen Gas Mixtures Delivered by a High Flow Nasal Cannula in Bronchiolitis[NCT02373683] | 10 participants (Actual) | Interventional | 2014-12-31 | Terminated | |||
The Use of Heliox Driven Racemic Epinephrine Nebulization in the Treatment of Moderate to Severe Bronchiolitis in Pediatric Emergency Department Patients[NCT00116584] | Phase 3 | 72 participants (Actual) | Interventional | 2004-12-31 | Completed | ||
Prophylactic Racemic Epinephrine for the Prevention of Dysphagia in Patients Undergoing Anterior Cervical Discectomy and Fusion: A Randomized Control Trial[NCT02724761] | 90 participants (Anticipated) | Interventional | 2016-09-30 | Not yet recruiting | |||
Randomized Controlled Trial of Epinephrine and Albuterol in Bronchiolitis[NCT00114478] | 600 participants | Interventional | 2003-11-30 | Active, not recruiting | |||
"Are Steroids Efficacious in Hospitalized Patients With Bronchiolitis Who Show an Objective Clinical Improvement After Albuterol (Albuterol Responders)?"[NCT00798616] | 0 participants (Actual) | Interventional | Withdrawn (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) | Interventional | 2014-09-30 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | units on a scale (Mean) |
---|---|
Heliox | 1.84 |
Oxygen | .031 |
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
Intervention | units on a scale (Mean) | ||||
---|---|---|---|---|---|
Differenceof MWCBS at 0 mins | Difference of MWCBS at 60 mins | Difference of MWCBS at 120 mins | Difference of MWCBS at 180 mins | Difference of MWCBS at 240 mins | |
Heliox | -0.33 | 0.54 | 0.77 | 0.94 | 1.20 |
Oxygen | 0 | 0 | 0 | 0 | 0 |
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
Intervention | units on a scale (Mean) | ||||
---|---|---|---|---|---|
Difference between RDAI at 0 min | Difference of RDAI at 60 mins | Difference of RDAI at 120 mins | Difference of RDAI at 180 mins | Difference of RDAI at 240 mins | |
Heliox | -0.48 | 1.80 | 2.92 | 3.00 | 3.29 |
Oxygen | 0 | 0 | 0 | 0 | 0 |
"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
Intervention | percent (Median) | ||
---|---|---|---|
<5 kg | 5-8 kg | >8 kg | |
Maximum Percent Change in PRP From Baseline Stratified by Wt | -46 | -30 | -17 |
"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
Intervention | percent change in PRP (Median) | ||
---|---|---|---|
Percent Change in PRP at 1.0 L/kg/min | Percent Change in PRP at 1.5 L/kg/min | Percent Change in PRP at 2.0 L/kg/min | |
Percent Change in Pressure-Rate Product | -10 | -20 | -23 |
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
Intervention | percent change in PRP (Median) | ||
---|---|---|---|
1.0 L/kg/min | 1.5 L/kg/min | 2.0 L/kg/min | |
Fisher & Paykel HFNC Delivery System | -15 | -19 | -23 |
Vapotherm HFNC Delivery System | -9 | -22 | -11 |
"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
Intervention | percent change in PRP from baseline (Median) | ||
---|---|---|---|
1.0 L/kg/min | 1.5 L/kg/min | 2.0 L/kg/min | |
Greater Than 8 kg | -5 | -2 | -15 |
Less Than or Equal to 8 kg | -14 | -27 | -25 |
"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
Intervention | degrees (Median) | |||
---|---|---|---|---|
0.5 L/kg/min | 1.0 L/kg/min | 1.5 L/kg/min | 2.0 L/kg/min | |
Phase Angle | 61 | 61 | 68 | 59 |
"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
Intervention | cmH20 * breaths/minute (Median) | |||
---|---|---|---|---|
PRP at 0.5 L/kg/min | PRP at 1.0 L/kg/min | PRP at 1.5 L/kg/min | PRP at 2.0 L/kg/min | |
Pressure-Rate Product | 824 | 699 | 596 | 594 |
1 review available for racepinephrine and Bronchiolitis
Article | Year |
---|---|
Recent advances in the treatment of bronchiolitis and laryngitis.
Topics: Acute Disease; Bronchiolitis; Bronchodilator Agents; Child, Preschool; Epinephrine; Glucocorticoids; | 1997 |
10 trials available for racepinephrine and Bronchiolitis
Article | Year |
---|---|
Racemic adrenaline and inhalation strategies in acute bronchiolitis.
Topics: Acute Disease; Administration, Inhalation; Age Factors; Bronchiolitis; Combined Modality Therapy; Do | 2013 |
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu | 2011 |
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu | 2011 |
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu | 2011 |
Helium-oxygen therapy for infants with bronchiolitis: a randomized controlled trial.
Topics: Albuterol; Bronchiolitis; Bronchodilator Agents; Chi-Square Distribution; Epinephrine; Female; Heliu | 2011 |
Randomized controlled trial of nebulized adrenaline in acute bronchiolitis.
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.
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].
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.
Topics: Acute Disease; Adrenergic beta-Agonists; Albuterol; Bronchiolitis; Double-Blind Method; Epinephrine; | 2005 |
Comparison of nebulized epinephrine to albuterol in bronchiolitis.
Topics: Acute Disease; Administration, Inhalation; Albuterol; Bronchiolitis; Bronchodilator Agents; Double-B | 2008 |
The clinical efficacy of nebulized racemic epinephrine and albuterol in acute bronchiolitis.
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.
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.
Topics: Administration, Inhalation; Airway Resistance; Albuterol; Bronchiolitis; Double-Blind Method; Epinep | 1993 |
8 other studies available for racepinephrine and Bronchiolitis
Article | Year |
---|---|
Treatment for acute bronchiolitis before and after implementation of new national guidelines: a retrospective observational study from primary and secondary care in Oslo, Norway.
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.
Topics: Administration, Inhalation; Bronchiolitis; Bronchodilator Agents; Finland; Hospitals, University; Hu | 2018 |
Decreasing Racemic Epinephrine for Bronchiolitis in an Academic Children's Hospital.
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.
Topics: Bronchiolitis; Epinephrine; Female; Humans; Male; Racepinephrine; Sodium Chloride | 2013 |
The clinical management of preterm infants with bronchiolitis.
Topics: Adrenal Cortex Hormones; Albuterol; Anti-Bacterial Agents; Blood Gas Analysis; Bronchiolitis; Bronch | 2013 |
Question from the clinician: racemic epinephrine for bronchiolitis.
Topics: Albuterol; Bronchiolitis; Emergencies; Epinephrine; Home Nursing; Humans; Infant; Racepinephrine | 2003 |
Use of racemic epinephrine in bronchiolitis: what is the emergency physician's perspective?
Topics: Attitude of Health Personnel; Bronchiolitis; Bronchodilator Agents; Emergency Service, Hospital; Epi | 2006 |
Inhaled nebulized adrenaline improves lung function in infants with acute bronchiolitis.
Topics: Acute Disease; Administration, Inhalation; Adrenergic Agonists; Bronchiolitis; Epinephrine; Female; | 2000 |