tailieunhanh - Báo cáo y học: "Emergency presentation and management of acute severe asthma in children"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Emergency presentation and management of acute severe asthma in children | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Review Emergency presentation and management of acute severe asthma in children Knut Oymar 1 2 and Thomas Halvorsen2 3 Address Department of Paediatrics Stavanger University Hospital Stavanger Norway 2Department of Clinical Medicine University of Bergen Bergen Norway and 3Department of Paediatrics Haukeland University Hospital Bergen Norway Email Knut 0ymar - oykn@ Thomas Halvorsen - Corresponding author Received 20 May 2009 Accepted 4 September 2009 Published 4 September 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 40 doi 1757-7241 -17-40 This article is available from http content 17 1 40 2009 0ymar and Halvorsen licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Acute severe asthma is one of the most common medical emergency situations in childhood and physicians caring for acutely ill children are regularly faced with this condition. In this article we present a summary of the pathophysiology as well as guidelines for the treatment of acute severe asthma in children. The cornerstones of the management of acute asthma in children are rapid administration of oxygen inhalations with bronchodilators and systemic corticosteroids. Inhaled bronchodilators may include selective b2-agonists adrenaline and anticholinergics. Additional treatment in selected cases may involve intravenous administration of theophylline b2-agonists and magnesium sulphate. Both non-invasive and invasive ventilation may be options when medical treatment fails to prevent respiratory failure. It is important that relevant treatment algorithms exist applicable