medigraphic.com
Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2017, Number 3

<< Back Next >>

Alerg Asma Inmunol Pediatr 2017; 26 (3)

Definition of critical asthma syndrome. Literature review

Tépach GCI, Acosta BM, Huerta LJG

Language: Spanish
References: 30
Page: 84-99
PDF size: 479.18 Kb.


ABSTRACT

Asthma exacerbations, asthma attacks or attacks (acute asthma) are episodes of dyspnea of more or less rapid onset, usually accompanied by wheezing, coughing and chest tightness. The term critical asthma syndrome represents the onset of the most severe form of asthma exacerbation and it is used to define the sudden, severe respiratory condition which, despite requiring urgent treatment, has not progressed to a state of irreversible hypoxia and cardiorespiratory arrest. All critical asthma syndromes require treatment in an emergency department, and most of the time require hospitalization. This article discusses specific management in children with critical asthma syndrome in a hospital environment focused on intensive care. It encompasses the initial evaluation, hemodynamic disorders, initial ventilatory treatment and pharmacology. It is vital not to underestimate the potential severity of the crisis. For this reason, it is essential to make a quick and precise assessment of a series of parameters that will allow us to classify the type of crisis we are facing.


REFERENCES

  1. Secretaría de Salud. Guía de práctica clínica. Diagnóstico y manejo del asma en menores de 18 años de edad, en el primer y segundo nivel de atención. GPC. 2013.

  2. Becker AB, Abrams EM. Asthma guidelines: the Global Initiative for Asthma in relation to national guidelines. Curr Opin Allergy Clin Immunol. 2017; 17 (2): 99-103. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28118238

  3. Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics. 2009; 123 (Suppl. 3): S131-145. Available from: http://pediatrics.aappublications.org/lookup/doi/10.1542/peds.2008-2233C

  4. Kenyon N, Zeki AA, Albertson TE, Louie S. Definition of critical asthma syndromes. Clin Rev Allergy Immunol. 2015; 48 (1): 1-6. Available from: http://link.springer.com/10.1007/s12016-013-8395-6.

  5. Alapont M, Vidal SB. Estatus asmaticus en niños: tratamiento ventilatorio. In: Ventilación artificial en el niño críticamente enfermo. 2002. p. 83-105.

  6. Piovesan DM, Menegotto DM, Kang S, Franciscatto E, Millan T, Hoffmann C et al. Early prognosis of acute asthma in the emergency room. J Bras Pneumol. 2017; 32 (1): 1-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17273562.

  7. Papiris S, Kotanidou A, Malagari K, Roussos C. Clinical review: severe asthma. Crit Care. 2002; 6 (1): 30-44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11940264

  8. Restrepo RD, Peters J. Near-fatal asthma: recognition and management. Curr Opin Pulm Med. 2008; 14 (1): 13-23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18043271

  9. Hamzaoui O, Monnet X, Teboul JL. Pulsus paradoxus. Eur Respir J. 2013; 42 (6): 1696-1705. Available from: http://erj.ersjournals.com/lookup/doi/10.1183/09031936.00138912

  10. Smith SR, Baty JD, Hodge D 3rd. Validation of the pulmonary score: an asthma severity score for children. Acad Emerg Med. 2002; 9 (2): 99-104. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11825832

  11. Saharan S, Lodha R, Kabra SK. Management of status asthmaticus in children. Indian J Pediatr. 2010; 77 (12): 1417-1423. Available from: http://link.springer.com/10.1007/s12098-010-0189-8

  12. Castillo LJ, De Benito FJ, Escribano MA, Fernández BM, García RS, Garde GJ et al. Consensus statement on the management of paediatric asthma. Update. 2007. First Spanish Consensus for the Management of Asthma in Paediatrics. Allergol Immunopathol (Madr). 2017; 36 (1): 31-52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18261431

  13. Mora C, Urbina H, Lobo PB. Guía de manejo clínico: Consenso de asma (Parte 2). Asma casi fatal. Arch Venez Pueric Pediatr. 2010; 73: 47-54.

  14. Hederos CA, Janson S, Andersson H, Hedlin G. Chest X-ray investigation in newly discovered asthma. Pediatr Allergy Immunol. 2004; 15 (2): 163-165. Available from: http://doi.wiley.com/10.1046/j.1399-3038.2003.00098.x

  15. Robinson PD, Van Asperen P. Asthma in childhood. Pediatr Clin North Am [Internet]. 2009; 2017; 56 (1): 191-226. Available from: http://linkinghub.elsevier.com/retrieve/pii/S003139550800196X

  16. Van Asperen PP. Cough and asthma. Paediatr Respir Rev. 2006; 7 (1): 26-30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16473813

  17. Weinberger M, Abu-Hasan M. Pseudo-asthma: when cough, wheezing, and dyspnea are not asthma. Pediatrics. 2007; 120 (4): 855-864. Available from: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2007-0078

  18. Kline-Krammes S, Patel NH, Robinson S. Childhood asthma: a guide for pediatric emergency medicine providers. Emerg Med Clin North Am. 2013; 31 (3): 705-732. Available from: http://linkinghub.elsevier.com/retrieve/pii/S073386271300045X

  19. Sánchez RI, Sánchez QM. Manejo de la agudización asmática. Asma de riesgo vital. In: Manual de Diagnóstico y Terapéutica en Neumología. 2a. ed. 2010. p. 367-377.

  20. Nichols DG, Shaffner D. Roger’s textbook of pediatric intensive care. 2015, pp. 875-890.

  21. Koninckx M, Buysse C, de Hoog M. Management of status asthmaticus in children. Paediatr Respir Rev. 2013; 14 (2): 78-85. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1526054213000286

  22. Beach C, Marcuccio E, Beerman L, Arora G. Accelerated idioventricular rhythm in a child with status asthmaticus. Pediatrics. 2015; 136 (2): e527-9. Available from: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2015-0449

  23. Wade A, Chang C. Evaluation and treatment of critical asthma syndrome in children. Clin Rev Allergy Immunol. 2015; 48 (1): 66-83. Available from: http://link.springer.com/10.1007/s12016-014-8408-0.

  24. Ruza TF. Tratado de cuidados intensivos pediátricos 1. 2002; pp. 765-775.

  25. Golding CL, Miller JL, Gessouroun MR, Johnson PN. Ketamine continuous infusions in critically ill infants and children. Ann Pharmacother. 2016; 50 (3): 234-241. Available from: http://journals.sagepub.com/doi/10.1177/1060028015626932

  26. Werner HA. Status asthmaticus in children: a review. Chest. 2001; 119 (6): 1913-1929. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11399724

  27. Molini MN, Ibiza PE, Modesto IV. Ventilación mecánica en el estado asmático. An Pediatria. 2003; 59 (4): 352-362. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1695403303781946

  28. Fuhrman B, Zimmerman J. Pediatric critical care. 4th Edition. 2011, p. 1176.

  29. Stather DR, Stewart TE. Clinical review: mechanical ventilation in severe asthma. Crit Care. 2005; 9 (6): 581-587. Available from: http://ccforum.biomedcentral.com/articles/10.1186/cc3733

  30. Guilbert TW, Bacharier LB, Fitzpatrick AM. Severe asthma in children. J Allergy Clin Immunol Pract. 2014; 2 (5): 489-500. Available from: http://linkinghub.elsevier.com/retrieve/pii/S2213219814003006




2020     |     www.medigraphic.com