%0 Journal Article
%T Crisis asm¨¢tica grave en ni£¿os de 6 a 13 a£¿os: an¨¢lisis y seguimiento posterior al egreso de la Unidad de Cuidado Intensivo
%A Rodr¨ªguez-Herrera
%A Gilberto
%A Sol¨ªs-Moya
%A Arturo
%A Guti¨¦rrez-Schwanhauser
%A Jos¨¦ Pablo
%J Acta Pedi¨¢trica Costarricense
%D 2009
%I Scientific Electronic Library Online
%X aim: costa rica is one of the countries with a highest prevalence of asthma in children and adolescents worldwide. the purpose of this study was to describe all the children aged 6 to 13 years, admitted to a icu between january 2000 to december 2006 because of a acute severe asthmatic crisis. methods: we review the medical charts of all the patients and interviewed a random sample of 20 parents. parents were asked about the child£¿s condition after he was delivered of the hospital, their asthma management practices, the severity of the symptoms and the present medications. also, their children receive spirometry testing. results: a total of 75 patients were included in the analysis; 33 were boys and 42 girls. the main decision to admit the children to the icu was to commence an iv infusion of salbutamol (75.6%). other pharmacologic agents used included nebulized b2 agonists (100%), nebulized ipratropium bromide (100%), iv steroids (93%) , iv aminophylline (56%), magnesium sulfate (28%) and antibiotics (40%). mechanical ventilation was necessary in 18.6% of admissions. the average stay for our patient group in icu was 3.28 days. after the hospitalization, there was at least 10 patients of the random sample without follow-up and 11 receiving no preventive-treatment. conclusions: there has been a decrease in the number of hospital admissions for asthma in the past 6 years. actually, it has been demonstrated that salbutamol iv is safely and effective in treating infants with acute severe exacerbations of asthma not necessarily in a icu. families often do not have written asthma action plans. effective outpatient care is believed to prevent hospitalization and emergency department visits resulting from childhood asthma.
%K severe asthmatic crisis
%K intensive care
%K children.
%U http://www.scielo.sa.cr/scielo.php?script=sci_abstract&pid=S1409-00902009000100005&lng=en&nrm=iso&tlng=en