Print

Print


In a message dated 12/13/2002 1:16:52 AM Eastern Standard Time,
HughesFisherdoc writes:

> Subj: Re: racemic epi in bronchiolitis
>  Date: 12/13/2002 1:16:52 AM Eastern Standard Time
>  From: <A HREF="mailto:HughesFisherdoc">HughesFisherdoc</A>
>  To: <A HREF="mailto:[log in to unmask]">[log in to unmask]</A>
>
>
>
> Kevin Hughes, MD
> After Hours Pediatrics
> Tampa, FL
>
>
>                           In our urgent care setting, we do not routinely
> use racemic epi for bronchiolitis, though I have witnessed its efficacy in
> many cases of hospitalized patients with increased secretions, low O2 sats,
> and refraction to standard albuterol nebs.  In such cases the benefit is
> likely from the fairly brief "topical" effects of the epinephrine on the
> leaky airway epithelium.  Its side effect profile and patient rebound
> potential as it wears off makes it an unpleasant choice for the management
> of the non-hospitalized patient.