Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (24)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Werner, H. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Werner, H. A.
(Chest. 2001;119:1913-1929.)
© 2001 American College of Chest Physicians

Status Asthmaticus in Children*

A Review

Heinrich A. Werner, MD

* From the Division of Critical Care, University of Kentucky Children’s Hospital, Lexington, KY.

Correspondence to: Heinrich A. Werner, MD, Division of Critical Care, University of Kentucky Children’s Hospital, Lexington, KY 40536; e-mail: hwerner{at}pop.uky.edu

About 10% of American children have asthma, and its prevalence, morbidity, and mortality have been increasing. Asthma is an inflammatory disease with edema, bronchial constriction, and mucous plugging. Status asthmaticus in children requires aggressive treatment with ß-agonists, anticholinergics, and corticosteroids. Intubation and mechanical ventilation should be avoided if at all possible, as the underlying dynamic hyperinflation will worsen with positive-pressure ventilation. If mechanical ventilation becomes necessary, controlled hypoventilation with low tidal volume and long expiratory time may lessen the risk of barotrauma and hypotension. Unusual and nonestablished therapies for severe asthma are discussed.

Key Words: asthma • ß-adrenergic agonists • children • corticosteroids • helium-oxygen • ipratropium • ketamine • magnesium sulfate • mechanical ventilation • status asthmaticus




This article has been cited by other articles:


Home page
 ChestHome page
A. Michalopoulos and M. E. Falagas
A Bibliometric Analysis of Global Research Production in Respiratory Medicine
Chest, December 1, 2005; 128(6): 3993 - 3998.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
R. G. Cox
Should cuffed endotracheal tubes be used routinely in children?/Les tubes endotracheaux a ballonnet devrait-ils etre utilises automatiquement chez les enfants ?
Can J Anesth, August 1, 2005; 52(7): 669 - 674.
[Full Text] [PDF]

Home page
 ChestHome page
G. J. Rodrigo, C. Rodrigo, and H. A. Werner
Status Asthmaticus in Children : Evidence-Based Recommendations
Chest, February 1, 2002; 121(2): 667 - 669.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by the American College of Chest Physicians.