What are the most effective therapies for bronchiolitis?
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In children younger than 2 years of age, inhaled racemic epinephrine may reduce early admissions, but admission rates are the same by 1 week after initial presentation. Inpatient treatment with nebulized 3% saline plus bronchodilators reduces length of stay (LOS) compared with nebulized saline alone. Inhaled or short-term systemic glucocorticoids do not affect admissions or LOS. Likewise, standard bronchodilators alone do not influence admissions or LOS (SOR: A, systematic reviews of RCTs).
Evidence Based Practice 15(12): 22-23.