Choosing Wisely:

Don’t routinely use bronchodilators in children with bronchiolitis.

Rationale and Comments: Published guidelines do not advocate the routine use of bronchodilators in patients with bronchiolitis. Comprehensive reviews of the literature have demonstrated that the use of bronchodilators in children admitted to the hospital with bronchiolitis has no effect or any important outcomes. There is limited demonstration of clear impact of bronchodilator therapy upon the course of disease. Additionally, providers should consider the potential impact of adverse events upon the patient.
Sponsoring Organizations:
  • Society of Hospital Medicine (Pediatric)
  • Sources:
  • American Academy of Pediatrics guidelines
  • Cochrane Database of Systematic Reviews
  • Disciplines:
  • Pulmonary medicine
  • Pediatric
  • References: • American Academy of Pediatrics. Diagnosis and management of bronchiolitis. Pediatrics. 2006;118(4):1774-93.
    • Gadomski AM, et al. Bronchodilators for bronchiolitis. Cochrane Database Syst Rev. 2010;(12):CD001266.

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