Emergency Treatment of Asthma

被引:58
作者
Lazarus, Stephen C. [1 ,2 ]
机构
[1] Univ Calif San Francisco, Div Pulm & Crit Care Med, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Cardiovasc Res Inst, San Francisco, CA 94143 USA
关键词
ACUTE ADULT ASTHMA; CORTICOSTEROID-THERAPY; MAGNESIUM-SULFATE; RACEMIC ALBUTEROL; CONTROLLED TRIAL; SEVERITY SCORE; DOUBLE-BLIND; METHYLPREDNISOLONE; LEVALBUTEROL; MONTELUKAST;
D O I
10.1056/NEJMcp1003469
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 46-year-old woman who has had two admissions to the intensive care unit (ICU) for asthma during the past year presents with a 4-day history of upper respiratory illness and a 6-hour history of shortness of breath and wheezing. An inhaled corticosteroid has been prescribed, but she takes it only when she has symptoms, which is rarely. She generally uses albuterol twice per day but has increased its use to six to eight times per day for the past 3 days. How should this case be managed in the emergency department?
引用
收藏
页码:755 / 764
页数:10
相关论文
共 52 条
[1]  
[Anonymous], 2003, COCHRANE DB SYST REV
[2]  
[Anonymous], 2007, EXPERT PANEL REPORT
[3]   Global strategy for asthma management and prevention: GINA executive summary [J].
Bateman, E. D. ;
Hurd, S. S. ;
Barnes, P. J. ;
Bousquet, J. ;
Drazen, J. M. ;
FitzGerald, M. ;
Gibson, P. ;
Ohta, K. ;
O'Byrne, P. ;
Pedersen, S. E. ;
Pizzichini, E. ;
Sullivan, S. D. ;
Wenzel, S. E. ;
Zar, H. J. .
EUROPEAN RESPIRATORY JOURNAL, 2008, 31 (01) :143-178
[4]   Inhaled corticosteroids and the prevention of readmission to hospital for asthma [J].
Blais, L ;
Ernst, P ;
Boivin, JF ;
Suissa, S .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 158 (01) :126-132
[5]   CORTICOSTEROIDS IN ACUTE SEVERE ASTHMA - EFFECTIVENESS OF LOW-DOSES [J].
BOWLER, SD ;
MITCHELL, CA ;
ARMSTRONG, JG .
THORAX, 1992, 47 (08) :584-587
[6]   A randomized placebo-controlled study of intravenous montelukast for the treatment of acute asthma [J].
Camargo, Carlos A., Jr. ;
Gurner, Deborah M. ;
Smithline, Howard A. ;
Chapela, Rocio ;
Fabbri, Leonardo M. ;
Green, Stuart A. ;
Malice, Marie-Pierre ;
Legrand, Catherine ;
Dass, S. Balachandra ;
Knorr, Barbara A. ;
Reiss, Theodore F. .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2010, 125 (02) :374-380
[7]   Comparison of racemic albuterol and levalbuterol for treatment of acute asthma [J].
Carl, JC ;
Myers, TR ;
Kirchner, HL ;
Kercsmar, CM .
JOURNAL OF PEDIATRICS, 2003, 143 (06) :731-736
[8]   Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma [J].
Cates, C. J. ;
Crilly, J. A. ;
Rowe, B. H. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (02)
[9]   Validation of a predictive model for asthma admission in children: How accurate is it for predicting admissions? [J].
Chey, T ;
Jalaludin, B ;
Hanson, R ;
Leeder, S .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1999, 52 (12) :1157-1163
[10]  
DARIOLI R, 1984, AM REV RESPIR DIS, V129, P385