• Crit Care Nurs Clin North Am · Sep 2004

    Review

    Management of acute severe asthma.

    • Adam C Winters.
    • Asheville Pulmonary & Critical Care Associates, PA, 30 Choctaw Street, Asheville, NC 28801, USA. adametmar@charter.net
    • Crit Care Nurs Clin North Am. 2004 Sep 1; 16 (3): 285-91, vii.

    AbstractAsthma is a chronic inflammatory disorder that results in recurrent episodes of reversible airflow obstruction. Lung hyperinflation results from obstruction or dynamic airway collapse during exhalation. Obstruction and dynamic hyperinflation both play a deleterious role in asthma. Patients who present with asthma have increased inspiratory work of breathing due to lung hyperinflation and auto-positive end-expiratory pressure (auto-PEEP). The goal of acute care treatment is to reverse bronchoconstriction and inflammation, thus reducing dynamic hyperinflation, so that breathing is restored to baseline, unlabored, quiet breathing.

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