Skip to main content

Treatment of Severe Acute Asthma in the Child

  • Chapter
Intensive Care in Childhood

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 25))

Abstract

The admission of children with respiratory insufficiency, mainly by compromise of the lower airways is a common finding in our ICUs [1, 2,3]. The obstruction of the lower airways may be a consequence of many processes: congenital (cystic fibrosis), viral infectious disease (bronchopneumonia, bronchiolitis), microaspirations (pneumopathy by gastroesophageal reflux and/or sinusitis), pulmonary sequelae (bronchopulmonary dysplasia, post viral disease bronchiolopathy), chronic inflammation (asthma), and others [3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Helfaer MA, Nichols D, Rogers MC et al (1992) Lower airway disease: Bronchiolitis and asthma. In: Rogers MC (ed) Textbook of Pediatric Intensive Care, 2nd edn. Williams & Wilkins, Baltimore, pp 258–295.

    Google Scholar 

  2. Downs JB & Pillmer SL (1995) Distal airway disorders in infants and children: Bronchiolitis and asthma. In: Ayres SM, Grenvik A, Holbrook P, Shoemaker WC (eds) Textbook of critical care, 3rd edn. W.B. Saunders Co., Philadelphia, pp 739–749.

    Google Scholar 

  3. Lanier B (1981) Who is dying of asthma and why ? J Pediatr 115:38–40.

    Google Scholar 

  4. Campbell DA, McLennan G, Coates JR et al (1994) A comparison of asthma deaths and near-fatal asthma in South Australia. Eur resp J 7:490–497.

    Article  CAS  Google Scholar 

  5. Schuh S, Johnson DW, Callahan S, et al (1995) Efficacy of frequent nebulized ipratropium bromide added to frequent high-dose albuterol therapy in severe childhood asthma. J Pediatr 126:639–645.

    Article  PubMed  CAS  Google Scholar 

  6. Kerem E, Canny G, Tibshirani R, et al (1991) Clinical-physiologic correlations in acute asthma of childhood. Pediatrics 87:481–486.

    PubMed  CAS  Google Scholar 

  7. Rubin BK, Marcushamer S, Priel I, et al (1990) Emergency management of the child with asthma. Pediatr Pulmonol 8:45–57.

    Article  PubMed  CAS  Google Scholar 

  8. Fugisang G, Pedersen S, Borgströn (1989) Dose-response relationship of intravenously administered terbutaline in children with asthma. J Pediatr 114:315–320.

    Article  Google Scholar 

  9. Santana JC (1995) Fatores relacionados a asma aguda em pacientes internados em Unidade de Terapia Intensiva Pediatrica. {Dissertacao de Mestrado. Universidade Federal do da UFRGS - Brazil}.

    Google Scholar 

  10. Geelhoed GC, Landau L, LeSouer PN (1990) Oxymetry and peak flow in assessment of acute childhood asthma. J Pediatr 117:907–909.

    Article  PubMed  CAS  Google Scholar 

  11. Stein RT, Gervini MG, Chaves D (1992) Asma aguda grave. In: Piva JP, Carvalho PA, Garcia PC (eds) Terapia Intesiva em Pediatria (3rd ed) Medsi, Rio de Janeiro, pp 167–183.

    Google Scholar 

  12. Bentur L, Canny GJ, Shields MD, et al (1990) Controled trial of nebulized albuterol in children younger than 2 years of age with acute asthma. Pediatrics 89:133–137.

    Google Scholar 

  13. Papo MC, Frank T, Thompson AE (1993) A prospective, randomized study of continuous versus intermittent nebulized albuterol for severe status asthmaticus in children. Crit Care Med 21:1479–1486.

    Article  PubMed  CAS  Google Scholar 

  14. Wolfson MR, Bhutani VK, Shaffer TH, et al (1984) Mechanics and energetics of breathing helium in infants with bronchopulmonary dysplasia. J Pediatr 104:752–757.

    Article  PubMed  CAS  Google Scholar 

  15. Carter E, Cruz M, Chesrow S, et al (1993) Efficacy of intravenously administered theophy- line in children hospitalized with severe asthma. J Pediatr 122:470–476.

    Article  PubMed  CAS  Google Scholar 

  16. Di Giulio GA, Kerscsmar CM, Krug SE, et al (1993) Hospital treatment of asthma: lack of benefit from theophyline given in addition to nebulized albuterol and intravenously administered corticosteroid. J Pediatr 122:464–469.

    Article  Google Scholar 

  17. Piva JP, Giugno K, Maia TR (1990) Asma aguda severa. I Congresso de Emergencias em Pediatria. Porto Alegre (Brazil), Anais, pp 61.

    Google Scholar 

  18. Grunberg G, Cohen JD, Keslin J, et al. (1991) Facilitation in status asthmaticus with continuous intravenous thiopental. Chest 99:1216–1219.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Piva, J.P., Amantéa, S., Garcia, P.C.R.R. (1996). Treatment of Severe Acute Asthma in the Child. In: Tibboel, D., van der Voort, E. (eds) Intensive Care in Childhood. Update in Intensive Care and Emergency Medicine, vol 25. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80227-0_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-80227-0_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-80229-4

  • Online ISBN: 978-3-642-80227-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics