Annals of Intensive Care (Oct 2019)
Management of severe asthma exacerbation: guidelines from the Société Française de Médecine d’Urgence, the Société de Réanimation de Langue Française and the French Group for Pediatric Intensive Care and Emergencies
- Philippe Le Conte,
- Nicolas Terzi,
- Guillaume Mortamet,
- Fekri Abroug,
- Guillaume Carteaux,
- Céline Charasse,
- Anthony Chauvin,
- Xavier Combes,
- Stéphane Dauger,
- Alexandre Demoule,
- Thibaut Desmettre,
- Stephan Ehrmann,
- Bénédicte Gaillard-Le Roux,
- Valérie Hamel,
- Boris Jung,
- Sabrina Kepka,
- Erwan L’Her,
- Mikaël Martinez,
- Christophe Milési,
- Élise Morawiec,
- Mathieu Oberlin,
- Patrick Plaisance,
- Robin Pouyau,
- Chantal Raherison,
- Patrick Ray,
- Mathieu Schmidt,
- Arnaud W. Thille,
- Jennifer Truchot,
- Guillaume Valdenaire,
- Julien Vaux,
- Damien Viglino,
- Guillaume Voiriot,
- Bénédicte Vrignaud,
- Sandrine Jean,
- Eric Mariotte,
- Pierre-Géraud Claret
Affiliations
- Philippe Le Conte
- Service d’Accueil des Urgences, CHU de Nantes
- Nicolas Terzi
- Service de Médecine Intensive Réanimation, CHU de Grenoble Alpes
- Guillaume Mortamet
- Service de Réanimation Pédiatrique, CHU de Grenoble Alpes
- Fekri Abroug
- Service de réanimation, CHU de Monastir
- Guillaume Carteaux
- Service de MIR, Hôpital Henri Mondor, APHP
- Céline Charasse
- Pediatric Emergency Department, CHU Pellegrin Enfants
- Anthony Chauvin
- Service des Urgences, Hôpital Lariboisière, APHP
- Xavier Combes
- Service des Urgences, CHU de la Réunion
- Stéphane Dauger
- Pediatric Intensive Care Unit, Robert Debré Hospital, APHP
- Alexandre Demoule
- Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie, Médecine Intensive et Réanimation (Département R3S), AP-HP, INSERM, UMRS1158 neurophysiologie respiratoire expérimentale et clinique, Sorbonne Université
- Thibaut Desmettre
- Service des Urgences, CHU de Besançon
- Stephan Ehrmann
- Médecine Intensive Réanimation, INSERM CIC 1415, réseau CRICS-TriggerSEP, CHRU de Tours and Centre d’Etude des Pathologies Respiratoires, INSERM U1100, faculté de médecine, Université de Tours
- Bénédicte Gaillard-Le Roux
- Pediatric Intensive Care Unit, Women and Children’s University Hospital
- Valérie Hamel
- Service des Urgences, CHU de Toulouse
- Boris Jung
- Service de MIR, CHU de Montpelliers
- Sabrina Kepka
- Service des Urgences, CHU de Strasbourg
- Erwan L’Her
- Service de MIR, CHRU de Brest
- Mikaël Martinez
- Pôle Urgences, centre hospitalier du Forez
- Christophe Milési
- Département de Pédiatrie Néonatale et Réanimations, CHU de Montpellier
- Élise Morawiec
- Service de Pneumologie et Réanimation, GH Pitié-Salpêtrière, APHP
- Mathieu Oberlin
- Service des Urgences, centre hospitalier de Cahors
- Patrick Plaisance
- Service des Urgences, AP-HP, hôpital la Riboisière
- Robin Pouyau
- Pediatric Intensive Care Unit, Women‐Mothers and Children’s University Hospital
- Chantal Raherison
- service de Pneumologie, CHU de Bordeaux
- Patrick Ray
- Service des Urgences, CHU de Dijon, faculté de médecine de Dijon
- Mathieu Schmidt
- INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition, Pitié–Salpêtrière Hospital, Medical Intensive Care Unit, Sorbonne Universités
- Arnaud W. Thille
- CHU de Poitiers, Médecine Intensive Réanimation
- Jennifer Truchot
- Service des Urgences, Hôpital Lariboisière, APHP
- Guillaume Valdenaire
- Service des Urgences, CHU de Bordeaux
- Julien Vaux
- SAMU 94, CHU Henri Mondor, AP-HP
- Damien Viglino
- INSERM, U1042, University of Grenoble-Alpes, HP2
- Guillaume Voiriot
- Service de réanimation polyvalente, Hôpital Tenon, APHP
- Bénédicte Vrignaud
- Pediatric Emergency Department, Women and Children’, s University Hospital
- Sandrine Jean
- Service de Réanimation Pédiatrique, APHP Hôpital Trousseau
- Eric Mariotte
- Service de Médecine Intensive Réanimation, APHP Hôpital Saint Louis
- Pierre-Géraud Claret
- Service d’Accueil des Urgences, CHU de Nîmes
- DOI
- https://doi.org/10.1186/s13613-019-0584-x
- Journal volume & issue
-
Vol. 9,
no. 1
pp. 1 – 16
Abstract
Abstract Background The French Emergency Medicine Society, the French Intensive Care Society and the Pediatric Intensive Care and Emergency Medicine French-Speaking Group edited guidelines on severe asthma exacerbation (SAE) in adult and pediatric patients. Results The guidelines were related to 5 areas: diagnosis, pharmacological treatment, oxygen therapy and ventilation, patients triage, specific considerations regarding pregnant women. The literature analysis and formulation of the guidelines were conducted according to the Grade of Recommendation Assessment, Development and Evaluation methodology. An extensive literature research was conducted based on publications indexed in PubMed™ and Cochrane™ databases. Of the 21 formalized guidelines, 4 had a high level of evidence (GRADE 1+/−) and 7 a low level of evidence (GRADE 2+/−). The GRADE method was inapplicable to 10 guidelines, which resulted in expert opinions. A strong agreement was reached for all guidelines. Conclusion The conjunct work of 36 experts from 3 scientific societies resulted in 21 formalized recommendations to help improving the emergency and intensive care management of adult and pediatric patients with SAE.
Keywords
