Evaluation and Management of Asthma and Chronic Obstructive Pulmonary Disease Exacerbation in the Emergency Department.
| Autor: | Long B; SAUSHEC, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address: brit.long@yahoo.com., Rezaie SR; Emergency Medicine/Internal Medicine, Greater San Antonio Emergency Physcians (GSEP). |
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| Jazyk: | angličtina |
| Zdroj: | Emergency medicine clinics of North America [Emerg Med Clin North Am] 2022 Aug; Vol. 40 (3), pp. 539-563. Date of Electronic Publication: 2022 Jul 09. |
| DOI: | 10.1016/j.emc.2022.05.007 |
| Abstrakt: | Obstructive lung disease includes asthma and chronic obstructive pulmonary disease (COPD). Exacerbation of asthma or COPD can result in significant morbidity and mortality, and emergency department (ED) care is often required. ED evaluation should assess risk factors for severe exacerbation and the patient's hemodynamic and respiratory status. Assessments including chest radiograph, point-of-care ultrasound, capnography, and electrocardiogram can assist. First-line treatments for acute exacerbation include bronchodilators and corticosteroids. Noninvasive ventilation, magnesium, ketamine, and epinephrine should be considered in those with severe exacerbation. Mechanical ventilation is challenging and should use an obstructive lung strategy with permissive hypercapnia. Competing Interests: Disclosure The authors have nothing to disclose. (Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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