Emergency treatment of acute asthma.
In assessing acute asthma, the physician must seek specific historical features, symptoms and physical findings. Recent work has shown, however, that while these features are associated with severity, their absence does not imply benignity. Objective measures of pulmonary function are required for accurate assessment of severity. A sequential treatment regimen using nebulized bronchodilators, vigorous rehydration, aminophylline, and corticosteroids should be employed. Status asthmaticus may require intubation and assisted ventilation and, as a last resort, inhalation anesthesia.
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DM
Maxwell
Lancet. 1965 Dec 25;2(7426):1323-5
4165307
Clin Chest Med. 1984 Dec;5(4):623-34
6151438
Crit Care Med. 1982 May;10(5):341-3
7075226
JAMA. 1976 Mar 29;235(13):1337-8
946250
JAMA. 1983 Apr 15;249(15):2043-6
6403719
Br J Dis Chest. 1983 Apr;77(2):123-35
6135441
Lancet. 1985 Jan 26;1(8422):187-8
2857266
Am J Med. 1983 Aug;75(2):259-62
6881177
N Engl J Med. 1973 Feb 1;288(5):221-5
4682217
Ann Emerg Med. 1982 Feb;11(2):77-83
7137689
Ann Allergy. 1985 Apr;54(4):289-93
2858995
Arch Intern Med. 1983 Jul;143(7):1324-7
6347108
Q J Med. 1975 Apr;44(174):259-73
170637
Eur J Clin Pharmacol. 1982;22(5):389-93
7117350
Am J Med. 1978 Apr;64(4):622-8
645728
Ann Emerg Med. 1983 Feb;12(2):80-3
6824209
Med Clin North Am. 1977 Nov;61(6):1229-38
926891
JACEP. 1979 Jan;8(1):9-12
533976
Crit Care Med. 1984 Oct;12(10):892-6
6435957
Am J Med. 1980 Jan;68(1):11-3
7350797
N Engl J Med. 1965 Jun 10;272:1200-3
14284992
Ann Emerg Med. 1982 Feb;11(2):64-9
7137687
Ann Emerg Med. 1984 Feb;13(2):92-6
6691624
J Asthma. 1983;20(1):35-8
6853424
Arch Intern Med. 1980 Dec;140(12):1604-5
7458495
Ann Emerg Med. 1982 Feb;11(2):70-3
6814315
N Engl J Med. 1968 May 9;278(19):1027-32
5644962
Chest. 1985 Jan;87(1 Suppl):64S-68S
2856868
Chest. 1985 Jan;87(1 Suppl):20S-21S
3964738