Bronchodilating effect of intravenous magnesium sulfate in acute severe bronchial asthma.
نویسندگان
چکیده
We investigated the bronchodilating effect of intravenous MgSO4 in acute severe bronchial asthma. Infusion of MgSO4 caused a significant improvement in FEV1 (0.94 +/- 0.39L to 1.3 +/- 0.44 L) and an improvement in clinical signs and symptoms in ten out of 12 administrations. The bronchodilating effect of MgSO4, however, was significantly less than that of subsequent albuterol inhalation (FEV1 improvement from 1.13 +/- 0.41 L to 1.72 +/- 0.49 L). These findings confirm that intravenous MgSO4 may be used as an adjunct to classic beta 2-agonist therapy in cases of severe acute asthma; its exact place in the treatment of asthma remains to be determined in large-scale studies.
منابع مشابه
Magnesium sulfate for treating exacerbations of acute asthma in the emergency department.
BACKGROUND Treatment of acute asthma is based on rapid reversal of bronchospasm and arresting airway inflammation. There is some evidence that intravenous magnesium can provide additional bronchodilation when given in conjunction with standard bronchodilating agents and corticosteroids. No systematic review of this literature has been completed on this topic. OBJECTIVES To examine the effect ...
متن کاملEffectiveness of magnesium sulfate as initial treatment of acute severe asthma in children, conducted in a tertiary-level university hospital: a randomized, controlled trial.
INTRODUCTION Magnesium sulfate is a calcium antagonist that inhibits bronchial smooth muscle contraction promoting bronchodilation. It is used for the management of acute severe asthma in children; however most of the studies have been performed in adults. OBJECTIVE To evaluate the effectiveness of intravenous magnesium sulfate for the treatment of pediatric patients with acute severe asthma ...
متن کامل[Effect of intravenous magnesium sulfate on chronic obstructive pulmonary disease exacerbations requiring hospitalization: a randomized placebo-controlled trial].
OBJECTIVE Magnesium sulfate has been shown to have a bronchodilating effect in asthma, but this effect has not been clearly established in the context of chronic obstructive pulmonary disease (COPD). For this reason we investigated the possible bronchodilating effect of magnesium sulfate in COPD exacerbations. PATIENTS AND METHODS We studied 24 patients with exacerbated COPD who required admi...
متن کاملنقش سولفات منیزیم به عنوان درمان کمکی در کنترل حملات حاد آسم
Background and Aim: Magnesium is required for a wide variety of cellular activities.In this study we follow the effect of intravenous Magnesium Sulfate used for the treatment of acute asthma. Materials and Methods: In this clinical trial, which was undertaken in the emergency ward of Vali-e Assre Hospital under BUMS, 37 Patients with acute asthma and Fischle Severity Score (FSS) ≥ 4 at arrival...
متن کاملIntravenous magnesium sulfate treatment for acute asthma in the emergency department: a systematic review of the literature.
STUDY OBJECTIVES There is some evidence that magnesium, when infused into asthmatic patients, can produce bronchodilation in addition to that obtained from standard treatments. This systematic review examined the effect of intravenous magnesium sulfate used for patients with acute asthma managed in the emergency department. METHODS Only randomized controlled trials were eligible for inclusion...
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ورودعنوان ژورنال:
- Chest
دوره 97 2 شماره
صفحات -
تاریخ انتشار 1990