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A 29-year perspective of status asthmaticus in children

H C Mansmann1

  • 1Department of Pediatrics, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pa. 19107.

New England and Regional Allergy Proceedings
|September 1, 1987
PubMed

Insights

Status asthmaticus management involves controversial issues. This review provides current recommendations based on literature and experience, emphasizing that deaths from this condition are preventable.

Area of Science:

  • Emergency Medicine
  • Pulmonology
  • Critical Care

Background:

  • Status asthmaticus is a severe asthma exacerbation requiring intensive management.
  • Controversies exist regarding optimal treatment strategies for status asthmaticus.

Purpose of the Study:

  • To review and update recommendations for managing status asthmaticus.
  • To address controversial aspects of status asthmaticus treatment.

Main Methods:

  • Four-year follow-up review of management issues.
  • Integration of prior experience with recent literature analysis.

Main Results:

  • Discussion of indications for epinephrine, sodium bicarbonate, theophylline, corticosteroids, oxygen, hydration, intravenous adrenergic agents, and controlled ventilation.
  • Identification of key areas for improved patient outcomes.

Conclusions:

  • Deaths from status asthmaticus are preventable with optimal management.
  • Current recommendations aim to guide clinicians in managing this critical condition effectively.

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