Inhaled magnesium versus inhaled salbutamol in rescue treatment for moderate and severe asthma exacerbations in pediatric patients

Objective: To compare the effectiveness of inhaled Magnesium Sulfate associated with Salbutamol versus Inhaled Salbutamol alone in patients with moderate and severe asthma exacerbations. Method: Clinical, prospective and randomized study with patients between 3 and 14 years of age divided into two g...

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Detalles Bibliográficos
Autores: Debiazzi, Michelle Siqueira [UNESP], Bonatto, Rossano César [UNESP], Campos, Fábio Joly [UNESP], Martin, Joelma Gonçalves [UNESP], Fioretto, José Roberto [UNESP], Hansen, Maria Letícia das Neves [UNESP], Luz, Arthur Martins de Araújo [UNESP], de Carvalho, Haroldo Teófilo [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/299957
Acceso en línea:http://dx.doi.org/10.1016/j.jped.2024.03.012
https://hdl.handle.net/11449/299957
Access Level:acceso abierto
Palabra clave:Asthma
Exacerbation
Pediatrics
Descripción
Sumario:Objective: To compare the effectiveness of inhaled Magnesium Sulfate associated with Salbutamol versus Inhaled Salbutamol alone in patients with moderate and severe asthma exacerbations. Method: Clinical, prospective and randomized study with patients between 3 and 14 years of age divided into two groups: one to receive inhaled salbutamol associated with magnesium sulfate (GSM), the other to receive inhaled salbutamol alone (GS). The sample consisted of 40 patients, 20 patients in each group. Severity was classified using the modified Wood-Downes score, with values between 4 and 7 classified as moderate and 8 or more classified as severe. Results: Post-inhalation scores decreased both in patients who received salbutamol and magnesium and in those who received salbutamol alone, with no statistically significant difference between the groups. Conclusions: Despite the benefits when administered intravenously, inhalation of the drug alone or in combination did not reduce the severity of the exacerbation.