Tratamiento de la agudizacion grave del asma (status asmaticus). Resultados con un tratamiento estandar
Treatment of acute asthmatic attacks (status asthmaticus): the results obtained with standard treatment
M.aC. Vennera, A. Xaubet, J.M. Montserrat, A. Agusti Vidal
Servicio de Neumología y Alergia Respiratoria. Hospital Clínico y Provincial. Barcelona
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array:22 [ "pii" => "S0300289615323486" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32348-6" "estado" => "S300" "fechaPublicacion" => "1982-07-01" "aid" => "72418" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1982" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:175-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1132 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 487 "PDF" => 600 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289615323498" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)32349-8" "estado" => "S300" "fechaPublicacion" => "1982-07-01" "aid" => "72419" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1982;18:180-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1477 "formatos" => array:3 [ "EPUB" => 38 "HTML" => 556 "PDF" => 883 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tumores intratoracicos de caracter embrionario. Analisis de siete casos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "180" "paginaFinal" => "184" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intrathoracic embryonic tumors: an analysis of 7 cases" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Ortiz-Villajos Fernandez, A. Esteban Hernandez, R. Relanzon Lopez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Ortiz-Villajos Fernandez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Esteban Hernandez" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Relanzon Lopez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323498?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000004/v1_201509151150/S0300289615323498/v1_201509151150/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Tratamiento de la agudizacion grave del asma (status asmaticus). Resultados con un tratamiento estandar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "175" "paginaFinal" => "179" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M.<span class="elsevierStyleSup">a</span>C. Vennera, A. Xaubet, J.M. Montserrat, A. Agusti Vidal" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>C." "apellidos" => "Vennera" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Xaubet" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Montserrat" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Agusti Vidal" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología y Alergia Respiratoria. Hospital Clínico y Provincial. Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment of acute asthmatic attacks (status asthmaticus): the results obtained with standard treatment" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1980-10-17" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analiza la respuesta a un tratamiento estándar realizado con teofilina, salbutamol y corti coides, en un grupo de asmáticos ingresados por agudización grave de su enfermedad (AGA gra do II).</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En todos ellos se observó una mejoría clínica y/o funcional, pudiendo ser dados de alta al nove no día del tratamiento. Se observó un período libre entre tres y cinco días hasta que la mejoría comen zaba a ser evidente.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Según las valoraciones de PEF (Peak Expiratory Flow), se obtuvieron tres modelos de recuperación: uno rápido hacia la normalidad (A), otro lento, también hacia la normalidad (B), y un tercero de recuperación incompleta (C).</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Estos modelos parecen guardar relación con la edad, siendo los del grupo A significativamente menores que los del B y C.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las pruebas funcionales efectuadas antes del al ta, demostraron la presencia de un patrón obstruc tivo de mediana intensidad en los pacientes perte necientes al modelo C.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Este diferente comportamiento deberá ser consi derado siempre que se realicen ensayos terapéuti cos en enfermos asmáticos.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The response obtained with a standard treat ment of the.ophyliine, salbutamol and corti costeroids, was studied in a group of asthmatic patients who were admitted to hospital because of acute stage II asthma attacks.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A favorable clinical or functional response —or both— was obtained in all patients, and they were discharged after the nineth treatment day. There was a stationary period between the third and fifth day before improvement became evident in all patients.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Peak expiratory flow studies showed three different modes of improvement: one with rapid response (A); one a slow response (B) and a third one with incomplete response (C); all seem age related, and the patients in group A were significantly younger than in the other two groups.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Functional tests done before discharging the patients showed those in group C to have a médium intensity pattern of obstruction. These different response patterns must be taken into account when considering the therapeutical management of asthmatic patients.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Status asthmaticus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.S. Bodes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Clin N Am" "fecha" => "1970" "volumen" => "54" "paginaInicial" => "493" "paginaFinal" => "509" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4906361" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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