Managing the paediatric patient with an acute asthma exacerbation

Paediatrics and Child Health (Canada)

Volumn 17, Issue 5, 2012, Pages 251-255

  Ortiz Alvarez, Oliva ^a   Mikrogianakis, Angelo ^a  

^a CANADIAN PAEDIATRIC SOCIETY   (Canada)

Author keywords

Asthma; Disposition; Emergency management; Paediatrics; Preschoolers

Indexed keywords

AMINOPHYLLINE; DEXAMETHASONE; HELIOX; HYDROCORTISONE; IPRATROPIUM BROMIDE; MAGNESIUM SULFATE; METHYLPREDNISOLONE; POTASSIUM; PREDNISOLONE; PREDNISONE; SALBUTAMOL;

AIRWAY OBSTRUCTION; ARTIFICIAL VENTILATION; ASTHMA; BLOOD GAS ANALYSIS; BRADYCARDIA; DISEASE EXACERBATION; DISEASE SEVERITY; DRUG DOSE TITRATION; ENDOTRACHEAL INTUBATION; FOLLOW UP; HEART ARRHYTHMIA; HOSPITAL DISCHARGE; HUMAN; HYPERGLYCEMIA; HYPOKALEMIA; HYPOTENSION; HYPOXEMIA; LUNG FUNCTION; MORBIDITY; OXYGEN SATURATION; PATIENT CARE; POTASSIUM BLOOD LEVEL; PRACTICE GUIDELINE; PRESCRIPTION; PULSE OXIMETRY; RESPIRATORY DISTRESS; RESPIRATORY FAILURE; REVIEW; SPIROMETRY; TACHYCARDIA; THORAX RADIOGRAPHY; TREATMENT RESPONSE; WHEEZING;

EID: 84861580917     PISSN: 12057088     EISSN: None     Source Type: Journal    
DOI: 10.1093/pch/17.5.251     Document Type: Review

References (31)

1. Garner R, Kohen D. Changes in the prevalence of asthma among Canadian children. Health Rep 2008;19(2):45-50.
2. To T, Dell S, Tassoudji M, Wang C. Health outcomes in low-income children with current asthma in Canada. Chronic Dis Can 2009;29(2):49-55.
3. From the Global Strategy for the Diagnosis and Management of Asthma in Children 5 years and Younger, Global Initiative for Asthma (GINA) 2009: www.ginasthma.org (Accessed May 18, 2011).
4. Bloomberg GR. The exacerbation component of impairment and risk in pediatric asthma. Curr Opin Allergy Clin Immunol 2010;10(2):155-60.
5. Guttmann A, Zagorski B, Austin PC, et al. Effectiveness of emergency department asthma management strategies on return visits in children: A population-based study. Pediatrics 2007;120 (6):e1402-10. (Pubitemid 350223658)
6. Rosychuk RJ, Voaklander DC, Klassen TP, Senthilselvan A, Marrie TJ, Rowe BH. Asthma presentations by children to emergency departments in a Canadian province: A population-based study. Pediatr Pulmonol 2010;45(10):985-92.
7. Institute for Clinical Systems Improvement. Health Care Guidelines: Diagnosis and Management of Asthma, Ninth Edition. June 2010: 〈www.icsi.org/asthma--outpatient/asthma--diagnosis-management-of-- guideline-.html〉(Accessed May 18, 2011).
8. Ralston M, Hazinski MF, Zaritsky AL, Schexnayder SM, Kleinman ME. Pediatric Advance Life Support Course Guide. Dallas, TX: American Heart Association, 2006.
9. Lougheed MD, Lemière C, Dell SD, et al. Canadian Thoracic Society Asthma Management Continuum-2010 Consensus Summary for children six year of age and over, and adults. Can Respir J 2010;17(1):15-24.
10. Cunningham S, Logan C, Lockerbie L, Dunn MJ, McMurray A, Prescott RJ. Effect of an integrated care pathway on acute asthma/wheeze in children attending hospital: Cluster randomized trial. J Pediatr 2008;152(3):315-20.
11. Kovesi T, Schuh S, Spier S, et al. Achieving control of asthma in preschoolers. CMAJ 2010;182 (4):E172-83.
12. Carroll W, Lenney W. Drug therapy in the management of acute asthma. Arch Dis Child Educ Pract Ed 2007;92(3):ep82-6. (Pubitemid 46854440)
13. Geelhoed GC, Landau LI, Le Souëf PN. Evaluation of SaO2 as a predictor of outcome in 280 children presenting with acute asthma. Ann Emerg Med 1994;23(6):1236-41. (Pubitemid 24161803)
14. Belessis Y, Dixon S, Thomsen A, et al. Risk factors for an intensive care unit admission in children with asthma. Pediatr Pulmonol 2004;37(3):201-9. (Pubitemid 38326369)
15. Gorelick MH, Stevens MW, Schultz T, Scribano PV. Difficulty in obtaining peak expiratory flow measurements in children with acute asthma. Pediatr Emerg Care 2004;20(1):22-6. (Pubitemid 38101652)
16. Reed MH. Imaging utilization commentary: A radiology perspective. Pediatr Radiol 2008;38 (Suppl 4):S660-3.
17. Parkin PC, Macarthur C, Saunders NR, Diamond SA, Winders PM. Development of a clinical asthma score for use in hospitalized children between 1 and 5 years of age. J Clin Epidemiol 1996;49(8):821-5. (Pubitemid 26283391)
18. Chalut DS, Ducharme FM, Davis GM. The Preschool Respiratory Assessment Measure (PRAM): A responsive index of acute asthma severity. J Pediatr 2000;137(6):762-8.
19. Gorelick MH, Stevens MW, Schultz TR, Scribano PV. Performance of a novel clinical score, the Pediatric Asthma Severity Score (PASS), in the evaluation of acute asthma. Acad Emerg Med 2004;11(1):10-8. (Pubitemid 38055781)
20. Birken CS, Parkin PC, Macarthur C. Asthma severity scores for preschoolers displayed weaknesses in reliability, validity, and responsiveness. J Clin Epidemiol 2004;57(11):1177-81. (Pubitemid 39573025)
21. Cheng A; Canadian Paediatric Society, Acute Care Committee. Emergency treatment of anaphylaxis in infants and children. Paediatr Child Health 2011;16(1):35-40.
22. Deeronjanawong J, Manuyakorn W, Prapphal N, Harnruthakorn C, Sritippayawan S, Samransamruajkit R. Randomized controlled trial of salbutamol aerosol therapy via metered dose inhaler-spacer vs. jet nebulizer in young children with wheezing. Pediatr Pulmonol 2005;39(5):466-72. (Pubitemid 40548291)
23. Papo MC, Frank J, Thompson AE. A prospective, randomized study of continuous versus intermittent nebulized albuterol for severe status asthmaticus in children. Crit Care Med 1993;21 (10):1479-86. (Pubitemid 23312481)
24. Rodrigo GJ, Castro-Rodriguez JA. Anticholinergics in the treatment of children and adults with acute asthma: A systematic review with meta-analysis. Thorax 2005;60(9):740-6. (Pubitemid 41297893)
25. Munro A, Maconochie I. Best evidence topic reports. Beta-agonists with or without anticholinergics in the treatment of acute childhood asthma? Emerg Med J 2006;23(6):470.
26. Smith M, Iqbal S, Elliott TM, Everard M, Rowe BH. Corticosteroids for hospitalised children with acute asthma. Cochrane Database Syst Rev 2003;(2):CD002886.
27. Mohammed S, Goodacre S. Intravenous and nebulised magnesium sulphate for acute asthma: Systematic review and meta-analysis. Emerg Med J 2007;24(12):823-30. (Pubitemid 350200629)
28. North West Thames Asthma Study Group; Roberts G, Newsom D, et al. Intravenous salbutamol bolus compared with an aminophylline infusion in children with severe asthma: A randomised controlled trial. Thorax 2003;58(4):306-10.
29. Mitra A, Bassler D, Goodman K, Lasserson TJ, Ducharme FM. Intravenous aminophylline for acute severe asthma in children over two years receiving inhaled bronchodilators. Cochrane Database Syst Rev 2005;(2):CD001276.
30. Kim IK, Phrampus E, Venkataraman S, et al. Helium/oxygen-driven albuterol nebulization in the treatment of children with moderate to severe asthma exacerbations: A randomized, controlled trial. Pediatrics 2005;116(5):1127-33. (Pubitemid 46056418)
31. Carroll CL, Smith SR, Collins MS, Bhandari A, Schramm CM, Zucker AR. Endotracheal intubation and pediatric status asthmaticus: Site of original care affects treatment. Pediatr Crit Care Med 2007;8(2):91-5. (Pubitemid 46568557)