Continuously Nebulized Albuterol in Severe Exacerbations of Asthma in Adults: A Case-Controlled Study |
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| Authors: | Eric K. Baker Sandra K. Willsie Jacqueline S. Marinac Gary A. Salzman |
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| Affiliation: | a Department of Internal Medicine, USAF Medical Center Scott Air Force Base, Illinoisb Department of Respiratory and Critical Care Medicine, University of Missouri-Kansas City, Kansas City, Missouric Departments of Medicine and Pharmacology, University of Missouri-Kansas City, Kansas City, Missouri |
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| Abstract: | A retrospective, case-controlled analysis comparing patients admitted to a medical intensive care unit with severe exacerbations of asthma who received continuously nebulized albuterol (CNA) versus intermittent albuterol (INA) treatments is reported. Forty matched pairs of patients with asthma are compared. CNA was administered for a mean of 11 ± 10 hr. The incidence of cardiac dysrhthmias was similar between groups. Symptomatic hypokalemia did not occur. CNA patients had higher heart rates during treatment, which may reflect severity of illness. The incidence of intubation was similar. We conclude that CNA and INA demonstrated similar profiles with regard to safety, morbidity, and mortality. |
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| Keywords: | Asthma Albuterol Critical care Continuous nebulization of albuterol |
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