Severe Acute Asthma (Status Asthmaticus)

2016 ◽  
pp. 2971-2976
Author(s):  
Alan R. Schroeder ◽  
David N. Cornfield
Keyword(s):  
Status Asthmaticus ◽  
Acute Asthma ◽  
Asthma Status ◽  
Severe Acute Asthma

Severe Acute Asthma (Status Asthmaticus)

2020 ◽  
Keyword(s):  
Oxygen Saturation ◽  
Magnesium Sulfate ◽  
Oxygen Therapy ◽  
Status Asthmaticus ◽  
Acute Asthma ◽  
High Flow ◽  
Key Points ◽  
High Flow Oxygen ◽  
Asthma Status ◽  
Severe Acute Asthma

Key Points Initiate high- flow oxygen therapy to maintain oxygen saturation of greater than 90%.Dexamethasone is as effective as methylprednisolone and should be given as soon as possible.Intravenous magnesium sulfate is a useful adjunct if therapy with β-agonists and anti-cholinergics are not effective initially.

Theraputic Respponse Patterns of Severe Acute Asthma Patients to High and Cumulative Doses of Salbutamol

CHEST Journal ◽  
2004 ◽  
Vol 126 (4) ◽  
pp. 814S
Author(s):  
Mostafizur Rahman ◽  
Adnan Y. Choudhury ◽  
S.M. Abdullah A. Mamun
Keyword(s):  
Acute Asthma ◽  
Asthma Patients ◽  
Severe Acute Asthma

scholarly journals Patterns of recovery of airflow obstruction in severe acute asthma

1979 ◽  
Vol 55 (650) ◽  
pp. 877-880 ◽  
Author(s):  
I. S. Petheram ◽  
D. A. Jones ◽  
J. V. Collins
Keyword(s):  
Acute Asthma ◽  
Airflow Obstruction ◽  
Severe Acute Asthma

scholarly journals Effect of adding aminophylline infusion to nebulised salbutamol in severe acute asthma.

Thorax ◽  
1994 ◽  
Vol 49 (3) ◽  
pp. 267-269 ◽  
Author(s):  
B M Zainudin ◽  
O Ismail ◽  
K Yusoff
Keyword(s):  
Acute Asthma ◽  
Nebulised Salbutamol ◽  
Severe Acute Asthma

Combined salbutamol and ipratropium bromide by inhalation in the treatment of severe acute asthma

1985 ◽  
Vol 107 (4) ◽  
pp. 605-608 ◽  
Author(s):  
Raphael Beck ◽  
Colin Robertson ◽  
Michele Galdès-Sebaldt ◽  
Henry Levison
Keyword(s):  
Ipratropium Bromide ◽  
Acute Asthma ◽  
Severe Acute Asthma

scholarly journals Factors related to severe acute asthma in childhood - epidemiologic and clinical aspects

1997 ◽  
Vol 73 (5) ◽  
pp. 324-334 ◽  
Author(s):  
João Carlos Batista Santana ◽  
Sérgio Saldanha Menna Barreto ◽  
Paulo R. Antonacci Carvalho
Keyword(s):  
Acute Asthma ◽  
Clinical Aspects ◽  
Severe Acute Asthma

Costs and effectiveness of spacer versus nebulizer in young children with moderate and severe acute asthma

2000 ◽  
Vol 136 (4) ◽  
pp. 497-502 ◽  
Author(s):  
Alison M. Leversha ◽  
Silvana G. Campanella ◽  
Richard P. Aickin ◽  
M.Innes Asher
Keyword(s):  
Young Children ◽  
Acute Asthma ◽  
Severe Acute Asthma

Severe Acute Asthma in a Pediatric Intensive Care Unit: Six Years' Experience

PEDIATRICS ◽  
1989 ◽  
Vol 83 (6) ◽  
pp. 1023-1028
Author(s):  
Renato Stein ◽  
Gerard J. Canny ◽  
Desmond J. Bohn ◽  
Joseph J. Reisman ◽  
Henry Levison
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Severe Asthma ◽  
Acute Asthma ◽  
Mortality And Morbidity ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Oral Corticosteroids ◽  
Severe Acute Asthma ◽  
At Home

The management of children with severe acute asthma who required admission to the intensive care (ICU) of this hospital during 1982 to 1988 was reviewed retrospectively. A total of 89 children were admitted to the ICU on 125 occasions. During the study period, 24% of the patients were admitted to the ICU on more than one occasion. Prior to admission to this hospital, patients had been symptomatic for a mean of 48 hours. Although all patients had received bronchodilators before admission to hospital, only 23% of patients had received oral corticosteroids. According to initial arterial blood gas values determined in the ICU, 77% of the patients had hypercapnia (PaCO2 >45 mm Hg). The pharmacologic agents used in the ICU included nebulized β2agonists (100% of admissions), theophylline (99%), steroids (94%), nebulized ipratropium bromide (10%), IV albuterol (38%), and IV isoproterenol (10%). Mechanical ventilation was necessary in 33% of admissions; the mean duration of ventilation was 32 hours. Ten patients had pneumothorax; in six cases, these were related to mechanical ventilation. Three of the patients who received mechanical ventilation died, representing a mortality of 7.5%. In each of these patients, sudden, severe asthma episodes had developed at home, resulting in respiratory arrest. They had evidence of hypoxic encephalopathy at the time of admission to the ICU and eventually were declared brain dead. It was concluded that delay in seeking medical care and underuse of oral corticosteroids at home may have contributed to the need for ICU admission. The mortality and morbidity for children with severe asthma who require ICU admissions are small, provided that bronchodilators and IV steroids are used optimally and that patients who require mechanical ventilation are carefully selected.

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