ASMA GRAVE

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ASMA GRAVE
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    ASMA GRAVE Dr. JAVIER BENJAMIN ZATARAIN GUERRERO Intensivista  ASMA GRAVE ASMA: Desorden crónico-inflamatorio de la via aerea Asociado hiperractividad Reversible Síntomas respiratorios CHEST 2004, 125:1081-1102  ASMA GRAVE Asma grave  –   asma aguda  –   exacerbación  –   ataque asmático  –   estatus asmático Estadística: Prevalencia: 7-10% 504000 hospitalizaciones x año. 1.8 millones de consultas en urgencias. (8.8 x 100 personas con asma). Niños, raza negra, hispanos, mujeres. 10% ameritan hospitalización N Engl J Med 2010;363:755-64 CHEST 2004, 125:108  ASMA GRAVE Factores desencadenantes: Desconoce.................38 % Incumplimiento tx....32 % Infeccion VAS...........23% Neumonia...................9% Alergenos ...................9% Retiro esteroides........3%  ASMA GRAVE Fisiopatologia: Mecanismo de la limitación del flujo aereo: acorde al estimulo desencadenante. inflamación o broncoespasmo, o ambos.
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