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[Management of severe acute asthma in adults]. / Conduite à tenir devant une crise d'asthme aigu grave de l'adulte.
Joye, F; Marion, F; Broche, C; Plaisance, P; Guitteny, S.
Afiliação
  • Joye F; Service Samu 11 - Smurs - SAU - Cesu 11, Centre Hospitalier Antoine Gayraud, Carcassonne. joye.fred@wanadoo.fr
Presse Med ; 34(19 Pt 1): 1375-83, 2005 Nov 05.
Article em Fr | MEDLINE | ID: mdl-16292191
Any life-threatening episode of asthma requires early pre-hospital specialized medical management by emergency medical crews. Gravity depends on both clinical criteria and a peak expiratory flow rate (PEFR) more than 30% below either the level predicted by the reference graph or the patient's reference value. Initial treatment combines continuous nebulizations containing a beta2-agonist and ipratropium bromide, with oxygen administration and intravenous corticosteroid bolus. Recommended as second-line treatment in the absence of adequate response are: intravenous magnesium sulphate and continuous-perfusion beta2-agonists (electric syringe), or, in the case of shock, epinephrine. If mechanical ventilation is required, its settings should aim for low tidal volumes, low frequency, and increased expiratory time.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma / Emergências Tipo de estudo: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans Idioma: Fr Revista: Presse Med Ano de publicação: 2005 Tipo de documento: Article País de publicação: França
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma / Emergências Tipo de estudo: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans Idioma: Fr Revista: Presse Med Ano de publicação: 2005 Tipo de documento: Article País de publicação: França