scholarly journals Mistakes of diagnostics, conducting and treatments of the patients with bronchial asthma

2002 ◽  
Vol 1 (1) ◽  
pp. 89-96
Author(s):  
N. A. Karoly ◽  
A. P. Rebrov

On the basis of diagnostics of 100 patients, 25 doctors of Saratov and 72 histories of illness of the patients with severe acute asthma in four different hospitals there were presented the results that prove the great amount of defections in diagnostics quality, conducting and treatment of patients at various stages of rendering of medical aid. There were defined the difficulties of diagnostics and the main factor of severe current of asthma and death. The difficulties are both in absence of primary training of the patients, and in absence of constant, regular supervision of these patients by the local doctor. It is connected not only with the absence of time on doctor’s dialogue with the patient, but also with ignorance and frequently unwillingness of the doctor to learn the modern approaches of conducting and treatment of asthma. The received data confirms that the major factors conducting to increase of severe current of asthma and the increase of mortality are bad diagnostics, inadequate conducting and treatment, and the education of the patients is very necessary part of the general common program of asthma treatment.

1970 ◽  
Vol 6 (2) ◽  
pp. 100-103
Author(s):  
A Halim ◽  
T Alam ◽  
MY Ali ◽  
MMSU Islam ◽  
F Ahammad ◽  
...  

Bronchial asthma is an atopic disease characterized by chronic airway inflammation and hyper-responsiveness. Severe acute asthma is a medical emergency and sometimes difficult to treat. This prospective study was done at Dhaka Medical College Hospital from January 1997 to January 1998. Total 30 patients of bronchial asthma were included in this study. Diagnosis was established on the basis of symptoms, evidence of airflow obstruction and its reversibility by bronchodilator therapy. The age range was 18 to 80 years with a mean 36.64±4.91. Of them, 63% were male and 37% were female. It revealed that all patients had classical triad of dyspnoea, wheeze and cough. Almost all patients (80%) had some precipitating agents for their attack. Regarding treatment of severe acute asthma - Nebulized salbutamol is superior to conventional intravenous aminophylline, as p value of nebulized salbutamol group is <0.001 which is significant. So, severe acute asthma should be managed with nebulized salbutamol instead of intravenous aminophylline. Key words: Bronchial asthma; Bronchodilator; Nebulized salbutamol; Aminophylline. DOI: http://dx.doi.org/10.3329/fmcj.v6i2.9211 FMCJ 2011; 6(2): 100-103


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

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

Thorax ◽  
1994 ◽  
Vol 49 (3) ◽  
pp. 267-269 ◽  
Author(s):  
B M Zainudin ◽  
O Ismail ◽  
K Yusoff

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

PEDIATRICS ◽  
1991 ◽  
Vol 88 (1) ◽  
pp. 186-186
Author(s):  
ASHER TAL ◽  
NISSIM LEVY ◽  
Jacob E. Bearman

In Reply.— We thank Drs McJunkin and Stallo for their interest in our paper. Their suggestion of using objective lung function measurements in young children and infants with acute asthma in the emergency department is impractical. The pulmonary index score we used includes at least one important lung function measure, namely, respiratory rate; this score also has been shown to be very reliable in children.1 Although we routinely use the peak expiratory flow rate in children in the emergency department, most of our patients were younger than 3 years of age and could not cooperate with this objective measurement.


PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_2) ◽  
pp. 485-486
Author(s):  
Mary Beth Bollinger

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