Features of emergency care for children and adolescents with severe bronchial asthma at the prehospital stage. Review
https://doi.org/10.24884/2072-6716-2025-26-3-88-94
Abstract
Aim. To analyze the domestic and foreign literature on the problems of emergency care in children and adolescents with severe bronchial asthma (BA) at the prehospital stage. Materials and methods. A total of 26 international and national sources dealing with issues relevant to BA were analyzed, including 10 papers published in the last 5 years. Results. At the prehospital stage, children and adolescents with severe forms of asthma need to carefully collect an anamnesis and an objective examination to identify a severe or critical course of the disease. The drugs of choice for asthma relief are β2‑agnoists and glucocorticosteroids, with the ineffectiveness of which methylxanthines, anticholinergics, magnesium sulfate and adrenaline are used. Oxygen therapy is mandatory, and in rare cases, tracheal intubation and artificial lung ventilation. Conclusion. The analysis of the literature is of practical importance for emergency physicians in providing emergency care to children and adolescents with severe forms BA at the prehospital stage.
Keywords
bronchial asthma,
asthmatic status,
children and adolescents,
prehospital stage,
bronchodilators,
glucocorticosteroids
Supporting agencies: the study had no sponsorship
About the Authors
Yu. V. Bykov
Stavropol State Medical University; Children›s Regional Clinical Hospital
Russian Federation
Russian Federation
Bykov Yuri Vitalevich
Stavropol
А. N. Оbedin
Stavropol State Medical University; Regional Clinical Perinatal Center No. 1
Russian Federation
Russian Federation
Аlexander N. Оbedin
Stavropol
О. V. Zinchenko
Stavropol State Medical University
Russian Federation
Russian Federation
Оleg V. Zinchenko
Stavropol
I. V. Yatsuk
Stavropol State Medical University; City Clinical Hospital of Emergency Medical Care
Russian Federation
Russian Federation
Ivan V. Yatsuk
Stavropol
E. V. Vоlkov
Stavropol State Medical University; Regional Clinical Hospital
Russian Federation
Russian Federation
Evgeny V. Vоlkov
Stavropol
V. V. Fischer
Stavropol State Medical University; Shpakovskaya District Hospital
Russian Federation
Russian Federation
Vasiliy V. Fischer
Stavropol
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Review
For citations:
Bykov Yu.V., Оbedin А.N., Zinchenko О.V., Yatsuk I.V., Vоlkov E.V., Fischer V.V. Features of emergency care for children and adolescents with severe bronchial asthma at the prehospital stage. Review. EMERGENCY MEDICAL CARE. 2025;26(3):88-94. (In Russ.) https://doi.org/10.24884/2072-6716-2025-26-3-88-94
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