Management of Status Asthmaticus in Children.
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Date
2010-12
Journal Title
Journal ISSN
Volume Title
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Abstract
Asthma is a common chronic inflammatory disorder
of the airways characterized by recurrent wheezing,
breathlessness, and coughing. Acute exacerbations of asthma
can be life-threatening; annual worldwide estimated mortality
is 250,000 and most of these deaths are preventable. While
most of the acute exacerbations can be managed successfully
in the emergency room, few children have severe exacerbations
requiring intensive care. Mainstay of treatment for status
asthmaticus are inhaled β2 agonist and anticholinergic agents,
oxygen along with corticosteroids. Children who do not
respond well to initial treatment require parenteral β2 agonist
and magnesium. Rarely, sick children need parenteral
aminophylline infusion and mechanical ventilation. Guidelines
for diagnosis, treatment, ventilator management and
supportive care for status asthmaticus in children are
discussed in the protocol.
Description
Keywords
Children, Status asthmaticus, Respiratory distress
Citation
Saharan Sunil, Lodha Rakesh, Kabra Sushil K. Management of Status Asthmaticus in Children. Indian Journal of Pediatrics. 2010 Dec ; 77 (12): 1417-1423.