Recent advances in the treatment of bronchiolitis and laryngitis

This article describes recent evidence that epinephrine is effective in 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 faster resolution of symptoms, a lower probability of hospital admission, and a faster discharge rate from the emergency department. Either L-epinephrine or racemic epinephrine can be used for patients with croup without the automatic need for hospital admission, provided they are observed in the emergency department for a period of time.