Abstract

CAMACHO PLASENCIA, Carlos Alberto; RODRIGUEZ GOMEZ, Osvaldo Gil  and  AMADOR ROMERO, Silvia. Evaluation and treatment of severe asthmatic episode admitted in the Intensive Cares Unit. Rev haban cienc méd [online]. 2007, vol.6, n.2, pp. 0-0. ISSN 1729-519X.

In spite of the remarkable advances that have occurred in the knowledge of the inflammatory nature of the affection and in their therapy, the bronchial asthma is a significant cause of morbidity and mortality in the world. It was carried out a traverse and prospective study of 57 children with severe asthmatic episode admitted in the Intensive Cares Unit of the Hospital Docente Pediátrico del Cerro during a 7 years period (1999-2005). The severity of the asthmatic episode was evaluated according to the Downes' scale. 29.8% of the patients had entered previously in the UCIP for serious asthmatic episode and 66.6% received medical attention in the first 12 hours of initiate the crisis. The hipoxemia was detected in the 71.9% of the patients. In 18 children (31.6%) complications were presented, that lengthened their demurrage significantly. Most of the patients responded well to the habitual strategies of treatment. Two children needed mechanic ventilation only. No patient died in the studied sample. It is recommended the systematic evaluation of asthmatic episode severity and the identification of the patients with risk of dying to establish the most appropriate treatment in an opportune way.

Keywords : severe asthmatic episode; Intensive Cares Unit; mortality; treatment; children.

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