Comparison of intravenous aminophylline and salbutamol in severe asthma.
نویسندگان
چکیده
Severe asthma is the most common respiratory emergency treated in casualty departments of most hospitals. Intravenous aminophylline has been the mainstay of bronchodilator treatment for several years, although sudden death may occur after rapid administration,1 2 and it may be cardiotoxic.3 We thought that a selective adrenoceptor agonist might therefore be worthy of trial, and we report here our results with singleand double-blind comparative trials of intravenous aminophylline and salbutamol on 50 patients with severe asthma.
منابع مشابه
Intravenous salbutamol bolus compared with an aminophylline infusion in children with severe asthma: a randomised controlled trial.
BACKGROUND The relative efficacies of aminophylline and salbutamol in severe acute childhood asthma are currently unclear. A single bolus of salbutamol was compared with a continuous aminophylline infusion in children with severe asthma in a randomised double blind study. METHODS Children aged 1-16 years with acute severe asthma were enrolled if they showed little improvement with three nebul...
متن کاملGas exchange response to intravenous aminophylline in patients with a severe exacerbation of asthma.
In patients with acute exacerbations of asthma, the intravenous administration of bronchodilators, such as salbutamol, entails the potential risk of worsening pulmonary gas exchange, despite an amelioration of airflow obstruction. The present study was designed to investigate the effect of intravenous aminophylline on pulmonary gas exchange in patients hospitalized with a severe exacerbation of...
متن کاملCardiovascular response during severe acute asthma and its treatment in children.
Heart rate, blood pressure, pulsus paradoxus, and cardiac output measured by means of transthoracic electrical impedance cardiography have been recorded in 29 children mean age 10 years +/- 2 SD during status asthmaticus. Changes were recorded over the first two hours of treatment during which all patients received oxygen, intravenous fluid, and hydrocortisone, and were randomly assigned to rec...
متن کاملRandomised controlled trial of aminophylline for severe acute asthma.
OBJECTIVES To determine whether children with severe acute asthma treated with large doses of inhaled salbutamol, inhaled ipratropium, and intravenous steroids are conferred any further benefits by the addition of aminophylline given intravenously. STUDY DESIGN Randomised, double blind, placebo controlled trial of 163 children admitted to hospital with asthma who were unresponsive to nebulise...
متن کاملComparison of IV salbutamol with IV aminophylline in the treatment of severe, acute asthma in childhood.
A double-blind test to compare IV aminophylline with salbutamol in the treatment of acute, uncontrolled asthma showed that both drugs were equally effective during the first 24 hours. Salbutamol caused a relative tachycardia. Hydrocortisone was given after 2 hours, but did not appear to affect the rate of recovery.
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ورودعنوان ژورنال:
- British medical journal
دوره 1 6059 شماره
صفحات -
تاریخ انتشار 1975