Asthma
Conditions
Keywords
Asthma, status asthmatics
Brief summary
Despite the physiologic and clinical effects provided by coupling nebulization with noninvasive ventilation in asthma exacerbation, there are few and controversial studies reported in the literature.
Detailed description
Reduced work of breathing, increased oxygenation and increased in expiratory peak flow (EPF) and forced expiratory volume in the first second (FEV1) are benefits of noninvasive ventilation (NV) in the treatment of asthma. Despite these clinical improvements attributed to NV during asthma exacerbations and the well-established effects of nebulization, there are few studies in the literature coupling both therapeutic resources. In addition to this, no studies on scintigraphic analysis of radioaerosol deposition coupled with NV in asthmatics have published. A previous study was published by our group, but involved healthy subjects.
Interventions
Noninvasive ventilation coupled with nebulization(Nebulization containing salbutamol (2.5mg) and ipratropium bromide (0.25mg)plus oxygen flow in 7Lpm)
Nebulization containing salbutamol (2.5mg) and ipratropium bromide (0.25mg)plus oxygen flow in 7Lpm
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of moderate to severe asthma (FEV1 \< 60 % of predicted values) * Breathing rate \> 25 bpm * History of asthma for at least 1 year * Duration of current asthma attack of \< 7 days * Reversibility of FEV1 of at least ≤ 10% after the administration of bronchodilator drugs
Exclusion criteria
* Current smoker * Presence of cardiopulmonary disease (COPD, pneumonia, heart failure, myocardial infarction, pneumothorax) * Hyperthermia * Indication of intubation and invasive mechanical ventilation; * Hemodynamic instability (heart rate \> 150 bpm and systolic blood pressure \< 90 mmHg) * Cardiac arrhythmia * Changes in consciousness * Pregnancy * Contraindications to use NV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiopulmonary characteristics | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Radioaerosol pulmonary index, radioaerosol penetration index and pulmonary clearance. | 6 months |
Countries
Brazil