Keyword Analysis & Research: status asthmaticus treatment protocol

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What are the guidelines for the management of Status asthmaticus?

Guidelines Summary. There are no specific guidelines for managing status asthmaticus. The use of beta-agonists (via inhalation nebulizer or intravenous treatment), intravenous corticosteroids, and, in extreme cases, mechanical ventilation have been alluded to in previous sections.

What is the role of beta-agonists in the treatment of Status asthmaticus?

Beta-agonists are generally most effective in the early asthma reaction phase. However, patients who present with status asthmaticus despite frequent use of beta-agonists at home may have tachyphylaxis and may exhibit resistance to these agents.

Are nebulized corticosteroids effective in the treatment of Status asthmaticus?

The use of nebulized corticosteroids for treating status asthmaticus is controversial. Data comparing nebulized budesonide with prednisone in children suggest that the latter therapy is more effective for treating status asthmaticus.

When is anesthesia needed in the treatment of pediatric asthmaticus?

Anesthesia support is needed if inhaled anesthetic agents are considered for refractory severe intubated status asthmaticus. If all other support modalities fail and extracorporeal membrane oxygenation (ECMO) is required, surgical support for cannula placement should take place at an established pediatric ECMO center.

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