Volume 56, Issue 7 pp. 1924-1930
ORIGINAL ARTICLE

Use of magnesium sulfate in continuous infusion in patients with severe acute asthma, in a pediatric emergency room

Milton Gross Júnior

Corresponding Author

Milton Gross Júnior

Child and Adolescent Health from the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

Correspondence Milton Gross Júnior, Child and Adolescent Health from the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 98700-000, Brazil.

Email: [email protected]

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Patrícia Miranda Lago PhD

Patrícia Miranda Lago PhD

Pediatric Medicine and Child Health from the Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil

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João Carlos Batista Santana PhD

João Carlos Batista Santana PhD

Child and Adolescent Health from the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

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Gabriela Fontanella Biondo

Gabriela Fontanella Biondo

Pediatric Emergency Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil

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Bianca Zandoná

Bianca Zandoná

Child and Adolescent Health from the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

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Fernanda de Oliveira Chiaradia

Fernanda de Oliveira Chiaradia

Pediatric Emergency Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil

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Paulo Roberto Antonacci Carvalho PhD

Paulo Roberto Antonacci Carvalho PhD

Child and Adolescent Health from the Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

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First published: 08 April 2021
Citations: 2

Abstract

Introduction

Asthma is a chronic disease, of high prevalence, with important morbidity and that can lead to death in childhood. The use of intravenous magnesium sulfate has been indicated in cases refractory to the initial management with inhaled bronchodilators and corticosteroids.

Objective

To evaluate the use of magnesium sulfate in continuous infusion (50 mg/kg/h in 4 h) in children with severe acute asthma in a pediatric emergency room.

Location

Ten-bed general pediatric emergency room, university hospital, tertiary, in southern Brazil.

Patients

All children over 2 years old with severe acute asthma refractory to the initial treatment who received a continuous infusion of magnesium sulfate at a dose of 50 mg/kg/h in 4 h, from April 2017 to October 2019.

Conclusion

Based on this study, the use of continuous intravenous magnesium sulfate proved to be well tolerated, leading to improved respiratory status, and can be considered as a satisfactory adjunctive therapy in the management of severe acute asthma.

CONFLICT OF INTERESTS

The authors declare that there are no conflict of interests.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.