Comparison of nebulised magnesium sulphate and salbutamol combined with salbutamol alone in the treatment of acute bronchial asthma: a randomised study.

Emergency Medicine Journal : EMJ
P AggarwalM Irshad

Abstract

To test the hypothesis that combined administration of multiple doses of nebulised salbutamol and magnesium sulphate provides additional benefit compared with salbutamol alone in adult patients with acute asthma. Randomised, double blind, prospective study. A total of 100 patients presenting to an emergency department with an acute attack of bronchial asthma were randomised to two groups: nebulisation with a combination of salbutamol and magnesium sulphate (group A) and nebulisation with salbutamol only (group B). Both groups received nebulisation thrice at intervals of 20 minutes. Salbutamol and magnesium sulphate were administered in doses of 0.5 mg and 500 mg, respectively, and the solutions were made isotonic to plasma osmolality. Pulse rate, blood pressure, and peak expiratory flow rate (PEFR) were measured at baseline and at 15, 60, 75, and 120 minutes. Serum magnesium levels and blood gases were measured at 0 and 120 minutes in both groups. All patients had either acute severe or life threatening asthma. The baseline characteristics were comparable in the two groups. Both groups showed significant rise in PEFR at all time intervals, however, there was no significant difference between the groups in rise in PEFR at any ti...Continue Reading

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Citations

Nov 22, 2007·Emergency Medicine Journal : EMJ·S Mohammed, S Goodacre
Dec 19, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Waleed H Albuali
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Jun 7, 2019·Inflammopharmacology·Abbas ShahiMahdi Mahmoudi
Nov 23, 2013·Current Opinion in Pulmonary Medicine·Colin V E Powell
Jul 13, 2012·The Cochrane Database of Systematic Reviews·Andrea CiprianiCorrado Barbui
Feb 6, 2015·Pediatric Pulmonology·Khalid AlansariMahomud Alrifaai
Nov 29, 2017·The Cochrane Database of Systematic Reviews·Rachel KnightlyColin Powell
Dec 14, 2012·The Cochrane Database of Systematic Reviews·Colin PowellBrian H Rowe
Nov 25, 2020·JAMA : the Journal of the American Medical Association·Suzanne SchuhUNKNOWN Pediatric Emergency Research Canada (PERC) Network

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