Management of acute asthma in adults in the emergency department: nonventilatory management

Management of acute asthma in adults in the emergency department: assisted ventilation

“…Treating patients in the emergency setting requires skills in crisis resource management, including good communication, delegation of tasks and frequent reevaluation and reassessment of the patient. 33 For most patients, initial assessment and management in the emergency department, as described in a previous article in this series, 18 will be sufficient to resolve the crisis. Patients with a lack of response to initial appropriately aggressive therapy and those whose condition is deteriorating have potentially fatal asthma and should be immediately triaged to a closely monitored setting within the emergency department or to a local ICU, if available (Box 2).…”

“…Recommendations for the nonventilatory management of acute asthma were addressed in a separate article in this series. 18 These guidelines are intended primarily for emergency physicians and for family physicians who may occasionally care for patients with acute, potentially fatal asthma. Most physicians who initiate assisted ventilation in this setting will have assistance from a respiratory therapist or another physician knowledgeable about ventilatory technique, but even those who only infrequently perform this task should be familiar with the basic principles.…”

“…[24][25][26]29,30 Most of the key messages on this topic in the 1996 guidelines of the Canadian Association of Emergency Physicians and the Canadian Thoracic Society 29 32 which has been endorsed by the Canadian Association of Emergency Physicians and the Canadian Thoracic Society (also available as an online appendix to an earlier article in this series 18 ).…”

Ventilación mecánica no invasiva en crisis asmática

“…Bogotá, Colombia. (2) Jefe Existen elementos clínicos que pueden ayudar a identificar a los pacientes con alto riesgo de complicaciones y de asma fatal: tres o más consultas a urgencias en el último año, hospitalización en el úl-timo mes, uso frecuente de beta-2 agonistas de corta acción (más de 1 cánister/mes), historia de requerimiento de ventilación mecánica o estancia en UCI, dificultad para percibir la severidad de la crisis y comorbilidades (4,5).…”

Inhaler blues?

“…1 Indeed, many physicians use colour-coded wall charts to help both them and their patients identify inhalers.…”