[Continuous fenoterol inhalation by children with severe acute asthma: immediate clinical effects].
OBJECTIVE
To evaluate the alterations of heart rate, blood pressure, psychological aspects and oxygen saturation after continuous fenoterol inhalation (0.5 mg/Kg) by children with severe acute asthma.


METHODS
We studied 30 patients with severe acute asthma who were treated at the pediatric ward of Hospital Universitário-UFMS. The patients inhaled 0.5 mg/Kg of fenoterol (two drops/Kg) during one hour. Psychological aspects, oxygen arterial saturation, heart rate and blood pressure were evaluated at three different moments: before, after and one hour after the fenoterol inhalation.


RESULTS
There were 17 males (56.6%) and 13 females (43.4%). Sleepiness was observed in 16 (53.3%), psychomotor agitation in one (33%) and nausea and vomiting in 12 patients (40%). The average of oxygen arterial saturation increased from 90.9 +/- 2.8% to 92.7 +/- 2.5% (P<0.05) after inhalation. There was statistically significant increase in the average heart rate before and after inhalation (139.5 +/- 13.5 beats/min, 166.5 +/- 11.1 beats/min, respectively), P<0.05. A significant decrease in blood pressure rate was observed from 117.56 +/- 10.3 / 74.6 +/- 7 mmHg, to 107.6 +/- 11 / 63.6 +/- 9.3 mmHg (P<0.05).


CONCLUSIONS
Continuous fenoterol (0.5 mg/Kg) inhalation by children with severe acute asthma caused sleepiness, nausea, vomits, palpitation and decrease in blood pressure rate. The authors suggest that patients submitted to this treatment need clinical monitorship at hospital settings. Children with concomitant diseases such as diarrhea, vomits, and dehydration require special attention.
Zanoni
Lourdes Z
LZ
Departamento de Pediatria, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS. lzzanoni@nin.ufms.br
Palhares
Durval B
DB