Salbutamol and ipratropium by inhaler is superior to nebulizer in children with severe acute asthma exacerbation: Randomized clinical trial
dc.contributor.author | Iramain, Ricardo | |
dc.contributor.author | Castro Rodríguez, José Antonio | |
dc.contributor.author | Jara, Alfredo | |
dc.contributor.author | Cardozo, Laura | |
dc.contributor.author | Bogado, Norma | |
dc.contributor.author | Morinigo, Rocío | |
dc.contributor.author | De Jesús, Raúl | |
dc.date.accessioned | 2021-12-03T13:24:34Z | |
dc.date.available | 2021-12-03T13:24:34Z | |
dc.date.issued | 2019 | |
dc.description.abstract | Introduction: In moderate-severe asthma exacerbation, salbutamol by inhaler (MDI) issuperior to salbutamol delivered by nebulizer (NEB); however, to our knowledge, nostudies in children with exclusively severe exacerbations were performed.Objective: To compare the efficacy of salbutamol and ipratropium bromide by MDIversus by NEB in severe asthma exacerbations.Methods: We performed a clinical trial enrolling 103 children (2-14 years of age) withsevere asthma exacerbations (defined by the Pulmonary Score ≥ 7) seen at theemergency room in Asuncion, Paraguay. One group received salbutamol andipratropium (two puff every 10 min for 2 h and then every 30 min for 2 h more) byMDI with a valved-holding chamber and mask along with oxygen by a cannulaseparately (MDI-SIB); and the other received nebulization with oxygen (NEB-SIB) ofsalbutamol and ipratropium (1 every 20 min for 2 h and then every 30 min for 2 h more).Primary outcome was the rate of hospitalization (Pulmonary Score ≥ 7) after 4 h andsecondary outcome was oxygen saturation.Results: Fifty two children received MDI-SIB and 51 NEB-SIB. After the 4th hour,children on MDI-SIB had significantly (P = 0.003) lower rate of hospital admission thanon NEB-SIB (5.8% vs 27.5%, RR: 0.21 [0.06-0.69], respectively). Similarly, a significantimproved clinical score after 60 min and increase in oxygen saturation after 90 min oftreatment was observed in MDI-SIB versus NEB-SIB group (4.46 ± 0.7 vs 5.76 ± 0.65,P < 0.00001; and 90.5 ± 1.7 vs 88.43 1 ± 1, P < 0.00001, respectively).Conclusion: Even in severe asthma exacerbations administration of salbutamol andipratropium by MDI with valved-holding chamber and mask along with oxygen by acannula separately was more effective than by a nebulizer. | |
dc.fuente.origen | ORCID | |
dc.identifier.doi | 10.1002/ppul.24244 | |
dc.identifier.eissn | 1099-0496 | |
dc.identifier.uri | https://doi.org/10.1002/ppul.24244 | |
dc.identifier.uri | https://www.doi.org/10.1002/ppul.24244 | |
dc.identifier.uri | https://repositorio.uc.cl/handle/11534/63003 | |
dc.information.autoruc | Escuela de medicina ; Castro Rodríguez, José Antonio ; 0000-0002-0708-4281 ; 113247 | |
dc.issue.numero | No. 4 | |
dc.language.iso | en | |
dc.nota.acceso | Contenido completo | |
dc.pagina.final | 377 | |
dc.pagina.inicio | 372 | |
dc.provenance | ngjara 2021-12-03 10:24:34 | |
dc.relation.isformatof | Pediatric pulmonology, vol. 54, no. 4 (abr. 2019), pp. 372-377. | |
dc.revista | Pediatric pulmonology | |
dc.rights | acceso abierto | |
dc.subject | Children | |
dc.subject | Ipratropium | |
dc.subject | MDI | |
dc.subject | Nebulizer | |
dc.subject | Salbutamol | |
dc.subject | Severe acute asthma | |
dc.subject.ddc | 610 | |
dc.subject.dewey | Medicina y salud | es_ES |
dc.subject.other | Medicina y salud | |
dc.title | Salbutamol and ipratropium by inhaler is superior to nebulizer in children with severe acute asthma exacerbation: Randomized clinical trial | |
dc.type | artículo | |
dc.volumen | Vol. 54 | |
sipa.codpersvinculados | 113247 |
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