[Management of acute asthma in adults in the emergency room: current evidence].
Asthma is a disease with high prevalence in our country and worldwide. Although new therapeutic approaches have been developed recently, there seems to be a global increase in morbidity and mortality from asthma. In many institutions, asthma exacerbation is still a common medical emergency. Clinical evidence demonstrates that management of acute asthma in the emergency room entails crucial decisions that could determine the clinical outcome. In this review, the authors focus on assessment and treatment of patients with acute asthma and outline an appropriate management strategy. Diagnosis, severity assessment, treatment, complications, decision about where additional treatment will take place and orientations on discharge from the emergency will be considered. It is expected that these recommendations will help physicians to make the appropriate decisions about care of acute asthma in the emergency room.
Departamento de Medicina Interna, Hospital de Clínicas de Porto Alegre, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil. pdalcin@terra.com.br
Paulo de Tarso Roth
Pde T
Dalcin
Christiano
C
Perin
D000208:Acute Disease; D001249:Asthma / Q000150:complications / Q000628:therapy*; D004636:Emergency Service, Hospital; D019317:Evidence-Based Medicine; D006801:Humans