Clear evidence for effectiveness
Supportive care
Supplemental oxygen
Possibly effective
Nebulized ipratropium bromide (Atrovent) with or without nebulized albuterol (Proventil)*
Oral or inhaled corticosteroids †
Parenteral dexamethasone †
Nebulized epinephrine ‡
Possibly effective for most severe cases
Helium-oxygen combination
Surfactant
Probably ineffective
Aerosolized ribavirin (Virazole)
Antibiotics (unless patient has a clear focus of bacterial infection)
Nebulized furosemide
RSV-IG (RespiGam)
Inhaled interferon alfa-2a (Roferon-A)
rhDNase