Acute asthma exacerbation Asthma exacerbation, Continuous nebulization therapy, Intermittent nebulization therapy, Budesonide, Berodual, Emergency department
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged >18 years with clinical presentation consistent with acute asthma exacerbation, including: Dyspnea,Tachypnea, Chest tightness, Cough, Wheezing
Exclusion criteria
Exclusion criteria: 1.Respiratory failure requiring immediate intubation, 2.Facial abnormalities preventing mask fitting (deformity, severe facial skin infection), 3.Patients with tracheostomy, 4.History of allergy to corticosteroids or beta2-agonists, 5.Suspected COVID19 infection under investigation (PUI), 6.Suspected or confirmed pulmonary tuberculosis, 7.Inability to perform pulmonary function testing (spirometry or peak expiratory flow)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay in the emergency department (ED LOS) 24 hours Hour,Pulmonary function improvement 24 hours Peak Expiratory Flow (PEF) and Forced Expiratory Volume in 1 second (FEV1),Dyspnea severity 24 hours Borg dyspnea scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients discharge home from ED 8 hours proportion,Length of hospital stay (LOS) 2 weeks days,Need for endotracheal intubation 2 weeks Binary outcome,Revisit with asthma exacerbation within 48 hours 48 hours hours | — |
Countries
Thailand
Contacts
Department of Emergency Medicine, Faculty of Medicine, Thammasat University