Episódio 119: Asma no Pronto Socorro - 3 Casos

Descrição

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Fred, Rapha e Iago comentam 3 casos de Asma no Pronto Socorro:

1. Uma paciente com exacerbação leve/moderada

2. Um paciente com exacerbação grave

3. Um paciente com risco iminente de vida

Minutagem em breve!

Referências:

1- Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2021. Available from: www.ginasthma.org 

2- Uptodate 2021. Acute exacerbations of asthma in adults: Emergency department and inpatient management. Christopher H Fanta, Bruce S Bochner,Robert S Hockberger, Helen Hollingsworth.

3- JOKERST, Clinton et al. ACR Appropriateness Criteria® acute respiratory illness in immunocompetent patients. Journal of the American College of Radiology, v. 15, n. 11, p. S240-S251, 2018.

4- Chien, Jason W., et al. "Uncontrolled oxygen administration and respiratory failure in acute asthma." Chest 117.3 (2000): 728-733.

5- Perrin, Kyle, et al. "Randomised controlled trial of high concentration versus titrated oxygen therapy in severe exacerbations of asthma." Thorax 66.11 (2011): 937-941.

6- Rehrer, Matthew W., et al. "A randomized controlled noninferiority trial of single dose of oral dexamethasone versus 5 days of oral prednisone in acute adult asthma." Annals of emergency medicine 68.5 (2016): 608-613.

7- Kravitz, Joel, et al. "Two days of dexamethasone versus 5 days of prednisone in the treatment of acute asthma: a randomized controlled trial." Annals of emergency medicine 58.2 (2011): 200-204.

8- O'Driscoll, B. R., et al. "Double-blind trial of steroid tapering in acute asthma." The Lancet 341.8841 (1993): 324-327.

9- Jones, A. M., et al. "Prospective, placebo-controlled trial of 5 vs 10 days of oral prednisolone in acute adult asthma." Respiratory medicine 96.11 (2002): 950-954.

10- Kew, Kayleigh M., Liza Kirtchuk, and Clare I. Michell. "Intravenous magnesium sulfate for treating adults with acute asthma in the emergency department." Cochrane Database of Systematic Reviews 5 (2014).

11- Kirkland, Scott W., et al. "Combined inhaled beta‐agonist and anticholinergic agents for emergency management in adults with asthma." Cochrane Database of Systematic Reviews 1 (2017).

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