Iv steroids for asthma

Antileukotriene agents in the management of asthma
Allergen avoidance in the treatment of asthma and allergic rhinitis
An overview of asthma management
Diagnosis of asthma in adolescents and adults
Evaluation of severe asthma in adolescents and adults
Identifying patients at risk for fatal asthma
Natural history of asthma
Severe asthma phenotypes
Management of acute exacerbations of asthma in adults
Treatment of intermittent and mild persistent asthma in adolescents and adults
Treatment of moderate persistent asthma in adolescents and adults
Treatment of severe asthma in adolescents and adults

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"In sharp contrast to the leading clinical guidelines, the vast majority of patients hospitalized for acute exacerbation of COPD were initially treated with high doses of corticosteroids administered intravenously," conclude study researchers led by Peter K. Lindenauer, MD, of Baystate Medical Center in Springfield, Mass. This practice is not associated with "any measurable benefit and at the same time exposes patients to the risks and inconvenience of an intravenous line, potentially unnecessarily high doses of steroids, greater hospital costs, and longer lengths of stay."

Endotracheal intubation and ventilation for impending respiratory failure:
Intubation and mechanical ventilation can be life-saving interventions but their use in paediatric patients with asthma have been associated with significant adverse effects. Up to 26% of children intubated due to asthma have complications, such as pneumothorax or impaired venous return, and cardiovascular collapse because of increased intrathoracic pressure [31] . Mechanical ventilation during an asthma exacerbation is associated with increased risk of death and should be considered as a last resort and only in conjunction with the support of a paediatric ICU specialist.

In the randomised trials, intravenous magnesium sulfate was given as a single dose of g or 2 g over 15 to 30 minutes. Used in this way the overall evidence showed that there were improvements in lung function and a reduction in the risk of hospital admission. Even though the recent trial was not conclusive, the sum of the evidence from all randomised trials does suggest benefit from intravenous magnesium sulfate on lung function and the risk of hospital admission, in adults with acute asthma exacerbations that have not resolved with current first line treatments.

Iv steroids for asthma

iv steroids for asthma

In the randomised trials, intravenous magnesium sulfate was given as a single dose of g or 2 g over 15 to 30 minutes. Used in this way the overall evidence showed that there were improvements in lung function and a reduction in the risk of hospital admission. Even though the recent trial was not conclusive, the sum of the evidence from all randomised trials does suggest benefit from intravenous magnesium sulfate on lung function and the risk of hospital admission, in adults with acute asthma exacerbations that have not resolved with current first line treatments.

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