Emergency Management of Status Asthmaticus in Children

David G. Nichols

Research output: Contribution to journalArticlepeer-review

Abstract

Life-threatening status asthmaticus in children is sufficiently common so that all emergency departments receiving children must have a management strategy prepared for this disease. The strategy encompassing both the prehospital and the emergency department phases relies on frequent inhalation of nebulized bronchodilators (typically albuterol and ipratropium), intravenous steroids, and prompt endotracheal intubation in children with obtundation, hypoxia, or inaudible breath sounds. Death should be preventable in this disease if the child receives aggressive medical attention before respiratory arrest has developed. However, the best therapy involves prevention by ensuring that children with a history of severe asthma receive adequate anti-inflammatory therapy usually with inhaled steroids before life-threatening status asthmaticus develops.

Original languageEnglish (US)
Pages (from-to)394-400
Number of pages7
JournalPediatric annals
Volume25
Issue number7
DOIs
StatePublished - Jul 1996

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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