Management of respiratory failure in patients with asthma.

Abstract:

:The goal of management of patients with respiratory failure is to restore them to a state of quiet breathing, without complication. This goal is often achieved by pharmacotherapy alone. Inhaled albuterol sulfate, oxygen, and systemic corticosteroids are mainstays of acute care drug management, whereas other data support the use of inhaled steroids, ipratropium bromide, magnesium sulfate, theophylline, and heliox. Assisted ventilation by face mask or endotracheal tube may be required in refractory patients. In intubated patients, a ventilatory strategy that prolongs exhalation time and accepts hypercapnia minimizes lung hyperinflation and generally results in a good outcome. Acute asthma often represents failure of outpatient management; key aspects of the outpatient program should be addressed in the acute care setting to help prevent recurrent attacks.

journal_name

Curr Opin Pulm Med

authors

Gluckman TJ,Corbridge T

doi

10.1097/00063198-200001000-00014

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

79-85

issue

1

eissn

1070-5287

issn

1531-6971

journal_volume

6

pub_type

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