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10.1111/j.1553-2712.2010.00913.x http://scihub22266oqcxt.onion/10.1111/j.1553-2712.2010.00913.x 21175517!ä!21175517 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acad+Emerg+Med 2010 ; 17 (11): 1189-96 Nephropedia Template TP {{tp|p=21175517|t=2010. North American practice patterns of intravenous magnesium therapy in severe acute asthma in children |pdf=|usr=}}{{21175517}} gab.com Text North American practice patterns of intravenous magnesium therapy in severe acute asthma in children JO: Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=21175517 #FOAvip OBJECTIVES: Although intravenous (IV) magnesium (Mg) can decrease hospitalizations in children with severe acute asthma, its use is often limited to resistant disease, and disposition may be determined prior to its use. Since knowledge about practice patterns of IV Mg would enhance knowledge translation and guide future research, we surveyed pediatric emergency physicians with interest in clinical research to determine the frequency, indications, adverse events, and barriers to use of IV Mg in children with severe acute asthma. METHODS: A cross-sectional online survey of two national pediatric emergency physician associations in Canada and the United States was conducted using a modified Dillman technique. RESULTS: Response rates were 124 of 180 (69%) in Canada and 75 of 108 (69%) in the United States. Although 88% of participants report knowing that Mg is effective, only 14 of 199 (7%) give it to prevent hospitalizations and 142 of 199 (71%) give it to prevent admissions to the intensive care unit (ICU). Thirty-eight percent of respondents use Mg in < 5% of stable children with severe acute asthma, while 79% use it in 50% or more of the ICU candidates with concern about impending respiratory failure. Seventy-nine percent of the participants report that < 5% of their patients given Mg are discharged home from the ED. Twenty-four percent of respondents who administer Mg have encountered associated severe hypotension requiring therapy, and 2% have witnessed-related apnea. Factors affecting Mg use include concern about side effects expressed by 24% of physicians and a belief that IV therapy is not necessary, expressed by 31%. CONCLUSIONS: Intravenous Mg appears to be uncommonly used in stable children with severe acute asthma and does not frequently play a role in reducing hospitalizations. Further research to justify its enhanced use and to better establish its true adverse effect profile is indicated. Twit Text FOAVip North American practice patterns of intravenous magnesium therapy in severe acute asthma in children ????Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=21175517 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=21175517 #FOAvip English Wikipedia <ref>{{Cite pmid|21175517}}</ref> North American practice patterns of intravenous magnesium therapy in severe acute asthma in children #MMPMID21175517 Schuh S; Macias C; Freedman SB; Plint AC; Zorc JJ; Bajaj L; Black KJ; Johnson DW; Boutis K Acad Emerg Med 2010[Nov]; 17 (11): 1189-96 PMID21175517show ga OBJECTIVES: Although intravenous (IV) magnesium (Mg) can decrease hospitalizations in children with severe acute asthma, its use is often limited to resistant disease, and disposition may be determined prior to its use. Since knowledge about practice patterns of IV Mg would enhance knowledge translation and guide future research, we surveyed pediatric emergency physicians with interest in clinical research to determine the frequency, indications, adverse events, and barriers to use of IV Mg in children with severe acute asthma. METHODS: A cross-sectional online survey of two national pediatric emergency physician associations in Canada and the United States was conducted using a modified Dillman technique. RESULTS: Response rates were 124 of 180 (69%) in Canada and 75 of 108 (69%) in the United States. Although 88% of participants report knowing that Mg is effective, only 14 of 199 (7%) give it to prevent hospitalizations and 142 of 199 (71%) give it to prevent admissions to the intensive care unit (ICU). Thirty-eight percent of respondents use Mg in < 5% of stable children with severe acute asthma, while 79% use it in 50% or more of the ICU candidates with concern about impending respiratory failure. Seventy-nine percent of the participants report that < 5% of their patients given Mg are discharged home from the ED. Twenty-four percent of respondents who administer Mg have encountered associated severe hypotension requiring therapy, and 2% have witnessed-related apnea. Factors affecting Mg use include concern about side effects expressed by 24% of physicians and a belief that IV therapy is not necessary, expressed by 31%. CONCLUSIONS: Intravenous Mg appears to be uncommonly used in stable children with severe acute asthma and does not frequently play a role in reducing hospitalizations. Further research to justify its enhanced use and to better establish its true adverse effect profile is indicated. |Adolescent[MESH] |Adult[MESH] |Anti-Asthmatic Agents/*administration & dosage/adverse effects[MESH] |Asthma/*drug therapy[MESH] |Canada[MESH] |Child[MESH] |Cross-Sectional Studies[MESH] |Drug Utilization[MESH] |Emergency Service, Hospital[MESH] |Health Care Surveys[MESH] |Humans[MESH] |Infusions, Intravenous[MESH] |Logistic Models[MESH] |Magnesium/*administration & dosage/adverse effects[MESH] |Middle Aged[MESH] |North America[MESH] |Practice Guidelines as Topic[MESH] |Severity of Illness Index[MESH]North American practice patterns of intravenous magnesium therapy in s(epmc).pdf DeepDyve Pubget Overpricing