doing more for bronchiolitis is not necessarily going to help.

Unfortunately, I've been able to experience this phenomenon with at least four different approaches to bronchiolitis: albuterol, systemic steroids, racemic epinephrine, and, more recently, hypertonic saline. I admit, it's crazy to think that we've made little improvement in the treatment of bronchiolitis, at least from a true therapeutic standpoint, over 25 years of practice, but that's the reality of where we stand. That doesn't mean that there isn't anything we can do to make children and families comfortable, but a large body of evidence suggests that doing more for bronchiolitis is not necessarily going to help.