Management of severe asthma exacerbation: guidelines from the Société Française de Médecine d’Urgence, the Société de Réanimation de Langue Française and the French Group for Pediatric Intensive Care and Emergencies

Annals of Intensive Care

Arnaud W. Thille¹  Christophe Milési²  Alexandre Demoule³  Damien Viglino⁴  Mathieu Schmidt⁵  Stephan Ehrmann⁶  Céline Charasse⁷  Bénédicte Vrignaud⁸  Stéphane Dauger⁹  Bénédicte Gaillard-Le Roux^1,10  Robin Pouyau^1,11  Mikaël Martinez^1,12  Julien Vaux^1,13  Erwan L’Her^1,14  Boris Jung^1,15  Guillaume Carteaux^1,16  Eric Mariotte^1,17  Nicolas Terzi^1,18  Élise Morawiec^1,19  Sandrine Jean^2,20  Guillaume Mortamet^2,21  Guillaume Voiriot^2,22  Fekri Abroug^2,23  Patrick Plaisance^2,24  Thibaut Desmettre^2,25  Guillaume Valdenaire^2,26  Patrick Ray^2,27  Sabrina Kepka^2,28  Valérie Hamel^2,29  Xavier Combes^3,30  Anthony Chauvin^3,31  Jennifer Truchot^3,31  Mathieu Oberlin^3,32  Philippe Le Conte^3,33  Pierre-Géraud Claret^3,34  Chantal Raherison^3,35 

[1] CHU de Poitiers, Médecine Intensive Réanimation;Département de Pédiatrie Néonatale et Réanimations, CHU de Montpellier;Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie, Médecine Intensive et Réanimation (Département R3S), AP-HP, INSERM, UMRS1158 neurophysiologie respiratoire expérimentale et clinique, Sorbonne Université;INSERM, U1042, University of Grenoble-Alpes, HP2;INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition, Pitié–Salpêtrière Hospital, Medical Intensive Care Unit, Sorbonne Universités;Médecine Intensive Réanimation, INSERM CIC 1415, réseau CRICS-TriggerSEP, CHRU de Tours and Centre d’Etude des Pathologies Respiratoires, INSERM U1100, faculté de médecine, Université de Tours;Pediatric Emergency Department, CHU Pellegrin Enfants;Pediatric Emergency Department, Women and Children’, s University Hospital;Pediatric Intensive Care Unit, Robert Debré Hospital, APHP;Pediatric Intensive Care Unit, Women and Children’s University Hospital;Pediatric Intensive Care Unit, Women‐Mothers and Children’s University Hospital;Pôle Urgences, centre hospitalier du Forez;SAMU 94, CHU Henri Mondor, AP-HP;Service de MIR, CHRU de Brest;Service de MIR, CHU de Montpelliers;Service de MIR, Hôpital Henri Mondor, APHP;Service de Médecine Intensive Réanimation, APHP Hôpital Saint Louis;Service de Médecine Intensive Réanimation, CHU de Grenoble Alpes;Service de Pneumologie et Réanimation, GH Pitié-Salpêtrière, APHP;Service de Réanimation Pédiatrique, APHP Hôpital Trousseau;Service de Réanimation Pédiatrique, CHU de Grenoble Alpes;Service de réanimation polyvalente, Hôpital Tenon, APHP;Service de réanimation, CHU de Monastir;Service des Urgences, AP-HP, hôpital la Riboisière;Service des Urgences, CHU de Besançon;Service des Urgences, CHU de Bordeaux;Service des Urgences, CHU de Dijon, faculté de médecine de Dijon;Service des Urgences, CHU de Strasbourg;Service des Urgences, CHU de Toulouse;Service des Urgences, CHU de la Réunion;Service des Urgences, Hôpital Lariboisière, APHP;Service des Urgences, centre hospitalier de Cahors;Service d’Accueil des Urgences, CHU de Nantes;Service d’Accueil des Urgences, CHU de Nîmes;service de Pneumologie, CHU de Bordeaux;

关键词: Asthma;    Severe exacerbation;    Guidelines;    Emergency;    Intensive Care;    Pediatric;   

DOI  :  10.1186/s13613-019-0584-x

来源: DOAJ

【 摘 要 】

Abstract Background The French Emergency Medicine Society, the French Intensive Care Society and the Pediatric Intensive Care and Emergency Medicine French-Speaking Group edited guidelines on severe asthma exacerbation (SAE) in adult and pediatric patients. Results The guidelines were related to 5 areas: diagnosis, pharmacological treatment, oxygen therapy and ventilation, patients triage, specific considerations regarding pregnant women. The literature analysis and formulation of the guidelines were conducted according to the Grade of Recommendation Assessment, Development and Evaluation methodology. An extensive literature research was conducted based on publications indexed in PubMed™ and Cochrane™ databases. Of the 21 formalized guidelines, 4 had a high level of evidence (GRADE 1+/−) and 7 a low level of evidence (GRADE 2+/−). The GRADE method was inapplicable to 10 guidelines, which resulted in expert opinions. A strong agreement was reached for all guidelines. Conclusion The conjunct work of 36 experts from 3 scientific societies resulted in 21 formalized recommendations to help improving the emergency and intensive care management of adult and pediatric patients with SAE.

【 授权许可】

Unknown