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Titolo:
Care for severe acute asthma in pediatric intensive units
Autore:
Loriette, Y; Labbe, A; Heraud, MC; Poirier, V; Kalendarov, D; Gaulme, J;
Indirizzi:
Hotel Dieu, Serv Reanimat & Malad Resp Enfants, F-63000 Clermont Ferrand, France Hotel Dieu Clermont Ferrand France F-63000 3000 Clermont Ferrand, France
Titolo Testata:
REVUE DES MALADIES RESPIRATOIRES
fascicolo: 4, volume: 16, anno: 1999,
pagine: 487 - 494
SICI:
0761-8425(199909)16:4<487:CFSAAI>2.0.ZU;2-B
Fonte:
ISI
Lingua:
FRE
Soggetto:
CHILDREN; MANAGEMENT; VENTILATION;
Keywords:
status asthmaticus; severity criteria; medical care; assisted ventilation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Loriette, Y Hotel Dieu, Serv Reanimat & Malad Resp Enfants, F-63000 Clermont Ferrand, France Hotel Dieu Clermont Ferrand France F-63000 t Ferrand, France
Citazione:
Y. Loriette et al., "Care for severe acute asthma in pediatric intensive units", REV MAL RES, 16(4), 1999, pp. 487-494

Abstract

Mortality in cases of severe asthma attacles in children is evaluated at 1%. During initial medical care, repeated evaluation of clinical and para-clinical severity criteria constitutes the main therapeutic guide. Emergency care treatment is based mainly on oxygen therapy, bronchodilatory therapy by discontinuous inhalation, and general corticotherapy. Intravenous theophylline treatment is controversial. The response after a few hours should allow a decision to be made [1] to follow up with outpatient treatment (rapid marked improvement), [2] to continue the hospital treatment (stabilization), or [3] to transfer to intensive care (worsening, exhaustion). In the intensive care unit, the treatment is based on continuous intravenous administration of beta(2) mimetics in addition to the above therapies. The objectiveis to avoid resorting to assisted ventilation. When this proves necessary,it must not be detrimental; controlled alveolar hypoventilation allows dynamic hyper-inflation linked to ventilation to be reduced. Prevention of relapse is indispensable. This requires hospitalization in a specialized care unit after discharge from intensive care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 20:10:06