Manejo da asma aguda em adultos na sala de emergência: evidências atuais

Dalcin, Paulo de Tarso Roth; Perin, Christiano

doi:10.1590/s0104-42302009000100021

Cited by 2 publications

(3 citation statements)

References 28 publications

(62 reference statements)

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“…[8] Clinical evidence demonstrates that management of acute asthma in the emergency room entails crucial decisions that could determine the clinical outcome. [9] Progression in the severity of an acute asthma attack can occur very rapidly. Therefore, close monitoring of patient progress is critical to identify patients most likely to have a severe course of illness.…”

Section: Discussionmentioning

confidence: 99%

“…[6] There is strong evidence to support the role of action plans detailing how to prevent and manage future exacerbations. [6] In similar studies, it was concluded that the assessment and treatment was often suboptimal,[12] management diverged from guideline recommendations and there was underuse of corticosteroids and inappropriate admission rates according to severity[9] as appears to be the problem locally.…”

Section: Discussionmentioning

confidence: 99%

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A local perspective to asthma management in the accident and emergency department in Malta

et al. 2013

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Aim:This study was performed to assess the management of adult patients presenting to the Mater Dei Hospital Accident and Emergency (A&E) department with acute asthma.Subjects and Methods:Asthmatic patients age 14 or older who presented to A&E department between January and October 2010 with asthma exacerbations were included. Data were collected from the clinical notes and analyzed.Results:A total of 244 patients (67.2% females) were included, 126 (51.6%) were admitted, 97 (39.8%) discharged and 21 (8.6%) discharged themselves against medical advice. There was a decline in the presentations between January and July, followed by an upward trend until October (P = 0.42). Pulse oximetry was performed in 207 patients (84.8%), arterial blood gases in 133 (54.5%), peak expiratory flow rate in 106 (43.4%) and chest radiography in 206 (84.4%) patients. The respiratory rate was documented in 151 (61.8%), heart rate in 204 (83.6%) and ability to complete sentences in 123 (50.4%) patients. One hundred and ninety six patients (80.3%) were given nebulized bronchodilators, 103 (42.2%) intravenous corticosteroids, 7 (2.87%) oral corticosteroids, 109 (44.7%) oxygen, 28 (11.5%) antibiotics and 9 (3.69%) magnesium. Systemic corticosteroids and antibiotics were more commonly prescribed to patients admitted (P < 0.001).Conclusion:Management of acute asthma in Malta requires optimization in order to compare with international guidelines.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A local perspective to asthma management in the accident and emergency department in Malta

et al. 2013

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“…Caso a evolução não seja satisfatória, é encaminhado ao departamento de emergência ou ao prontosocorro. Quanto mais rápido e eficiente ocorrer a intervenção na crise, melhor o desfecho dessa situação clínica, a ponto de se tornar indispensável a abordagem sistematizada e diferenciada pelos serviços de emergência (14) .…”

Section: ]" (M09)unclassified

Asma infantil sob a óptica materna: uma abordagem qualitativa

Albuquerque¹,

Nogueira²,

Guimarães³

et al. 2011

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Objetivou-se conhecer a percepção materna acerca da vivência com o filho asmático e investigar o conhecimento das mães sobre o tratamentoda asma. Estudo exploratório qualitativo realizado na Unidade de Sanitária César Cals. A coleta de dados ocorreu de abril a maio de 2009, com20 participantes. Efetuou-se a transcrição dos relatos por análise dos dados, logo emergindo as categorias: conhecimento aparente da patologia;benefícios quanto aos gastos com medicamentos; "mudou muito, porque ela só vivia internada"; "pratica esporte e não se cansa mais". Portanto, oconhecimento da população acerca do programa advém das orientações profissionais, vislumbrando as políticas de saúde da criança.Descritores: Asma, Enfermagem em Saúde Comunitária, Criança.Childhood asthma under maternal approach: a qualitative approachHere we intend to learn about the maternal perception about the life with an asthmatic child and investigate the mothers' knowledge about thetreatment of asthma. This is an exploratory and qualitative study carried out by the Sanitary César Cals. The data collection occurred in April/May2009, among twenty participants. The reports transcription were made by data analysis, soon emerging these categories: apparent knowledgeof the pathology; benefits regarding drug spending; she’s changed a lot, because she lived only in hospital; practicing sports and not get tiredanymore. So people's knowledge about the program comes from professional advice, thus catching a glimpse of the politics of child health.Descriptors: Asthma, Community Health Nursing, Child.El asma infantil en la perspectiva de la madre: una aproximación cualitativaTuvo como objetivo conocer la percepción materna del niño que vive con asma e investigar los conocimientos de las madres sobre el tratamientodel asma. Estudio exploratorio cualitativo se llevó a cabo en los Cals Sanitaria César. La recogida de datos tuvo lugar en abril/mayo de 2009 con veinteparticipantes. La transcripción fue hecha por el análisis de los datos, luego emergiendo las categorías: la patología del conocimiento aparente, losbeneficios sobre los gastos de medicamentos, ha cambiado mucho, porque sólo se vivía en el hospital, practica deporte y no se cansan más. Por lotanto el conocimiento de la gente sobre el programa proviene de un asesoramiento profesional, y de la política de la salud infantil.Descriptores: Asma, Enfermería em Salud Comunitaria, Niño.

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Manejo da asma aguda em adultos na sala de emergência: evidências atuais

Cited by 2 publications

References 28 publications

A local perspective to asthma management in the accident and emergency department in Malta

A local perspective to asthma management in the accident and emergency department in Malta

Asma infantil sob a óptica materna: uma abordagem qualitativa

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