A CONTROLLED TRIAL OF NEBULIZED ISOETHARINE IN THE PREHOSPITAL TREATMENT OF ACUTE ASTHMA

被引：15

作者：

EMERMAN, CL

SHADE, B

KUBINCANEK, J

机构：

[1] Department of Emergency Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH

[2] City of Cleveland Emergency Medical Services, Case Western Reserve University, Cleveland, OH

[3] Department of Surgery, Case Western Reserve University, Cleveland, OH

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1990年 / 8卷 / 06期

关键词：

aerosols; asthma; emergency medical services; Isoetharine;

D O I：

10.1016/0735-6757(90)90153-Q

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Acute asthma is a potentially life-threatening disorder, recognizable to the prehospital care provider. While therapies are available to the prehospital care provider for treating acute asthma, no previous controlled studies have been performed demonstrating that treatment in the field is efficacious and safe. The authors conducted a controlled trial of the prehospital use of nebulized isoetharine in an urban emergency medical services system. Fifty-two patients with acute asthma were studied. Patients were initially evaluated with a peak flow meter. Half of the patients received isoetharine, while the control group received basic life support only. There was no difference in baseline values. Peak expiratory flow increased from 138 L/min to 148 L/min in the control group, while it increased from 149 L/min to 218 L/min in the treatment group (P < .001). The authors conclude that paramedic treatment of acute asthma with nebulized isoetharine is effective in improving pulmonary function and clinical status during transport. © 1990.

引用

页码：512 / 514

页数：3

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