Use my Search Websuite to scan PubMed, PMCentral, Journal Hosts and Journal Archives, FullText. Kick-your-searchterm to multiple Engines kick-your-query now !>

A dictionary by aggregated review articles of nephrology, medicine and the life sciences Your one-stop-run pathway from word to the immediate pdf of peer-reviewed on-topic knowledge.

10.1016/j.ajem.2020.03.029 http://scihub22266oqcxt.onion/10.1016/j.ajem.2020.03.029 32222313!ä!32222313 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Emerg+Med 2021 ; 44 (ä): 441-451 Nephropedia Template TP {{tp|p=32222313|t=2021. Evaluation and management of the critically ill adult asthmatic in the emergency department setting |pdf=|usr=}}{{32222313}} gab.com Text Evaluation and management of the critically ill adult asthmatic in the emergency department setting JO: Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32222313 #FOAvip INTRODUCTION: Asthma is a common reason for presentation to the Emergency Department and is associated with significant morbidity and mortality. While patients may have a relatively benign course, there is a subset of patients who present in a critical state and require emergent management. OBJECTIVE: This narrative review provides evidence-based recommendations for the assessment and management of patients with severe asthma. DISCUSSION: It is important to consider a broad differential diagnosis for the cause and potential mimics of asthma exacerbation. Once the diagnosis is determined, the majority of the assessment is based upon the clinical examination. First line therapies for severe exacerbations include inhaled short-acting beta agonists, inhaled anticholinergics, intravenous steroids, and magnesium. Additional therapies for refractory cases include parenteral epinephrine or terbutaline, helium?oxygen mixture, and consideration of ketamine. Intravenous fluids should be administered, as many of these patients are dehydrated and at risk for hypotension if they receive positive pressure ventilatory support. Noninvasive positive pressure ventilation may prevent the need for endotracheal intubation. If mechanical ventilation is required, it is important to avoid breath stacking by setting a low respiratory rate and allowing permissive hypercapnia. Patients with severe asthma exacerbations will require intensive care unit admission. CONCLUSIONS: This review provides evidence-based recommendations for the assessment and management of severe asthma with a focus on the emergency clinician. Twit Text FOAVip Evaluation and management of the critically ill adult asthmatic in the emergency department setting ????Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32222313 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32222313 #FOAvip English Wikipedia <ref>{{Cite pmid|32222313}}</ref> Evaluation and management of the critically ill adult asthmatic in the emergency department setting #MMPMID32222313 Long B; Lentz S; Koyfman A; Gottlieb M Am J Emerg Med 2021[Jun]; 44 (ä): 441-451 PMID32222313show ga INTRODUCTION: Asthma is a common reason for presentation to the Emergency Department and is associated with significant morbidity and mortality. While patients may have a relatively benign course, there is a subset of patients who present in a critical state and require emergent management. OBJECTIVE: This narrative review provides evidence-based recommendations for the assessment and management of patients with severe asthma. DISCUSSION: It is important to consider a broad differential diagnosis for the cause and potential mimics of asthma exacerbation. Once the diagnosis is determined, the majority of the assessment is based upon the clinical examination. First line therapies for severe exacerbations include inhaled short-acting beta agonists, inhaled anticholinergics, intravenous steroids, and magnesium. Additional therapies for refractory cases include parenteral epinephrine or terbutaline, helium?oxygen mixture, and consideration of ketamine. Intravenous fluids should be administered, as many of these patients are dehydrated and at risk for hypotension if they receive positive pressure ventilatory support. Noninvasive positive pressure ventilation may prevent the need for endotracheal intubation. If mechanical ventilation is required, it is important to avoid breath stacking by setting a low respiratory rate and allowing permissive hypercapnia. Patients with severe asthma exacerbations will require intensive care unit admission. CONCLUSIONS: This review provides evidence-based recommendations for the assessment and management of severe asthma with a focus on the emergency clinician. |*Critical Illness[MESH] |*Emergency Service, Hospital[MESH] |Adult[MESH] |Asthma/*diagnosis/*therapy[MESH] |Diagnosis, Differential[MESH]Evaluation and management of the critically ill adult asthmatic in the(epmc).pdf DeepDyve Pubget Overpricing