1. Yes, in the "special care unit" which is a step down unit
from the ICU, staffed by non PICU attendings.
2. In the ED, we routinely use 3 back to back "shorts" which is
the equivalent of a continuos hour long aerosol (0.45mg/kg/hour).
Typically, we have been keeping them in the ED for the duration
of 3 "longs" with breaks between the hour long treatments,
depending on how they are tolerating it. We try not to keep them longer
than 6 hours in the ED. We do not have a formal observation unit
yet.Our admission rates, from what I understand, are less than 10 %,
which is pretty good; below NACHRI admission standards, with this
protocol. Our annual census is about 50-55K.
3.No official policy on this but typically I like to see them
off aerosols for 20-30 minutes before we make any disposition
Let me ask you a question? Do you'll have any protocols or asthma
clinical pathways in place in the ED. If not, is there support form your
pulmonologists, allergists etc for them?
> -----Original Message-----
> From: sms [SMTP:[log in to unmask]]
> Sent: Monday, February 23, 1998 4:46 PM
> To: Multiple recipients of list PED-EM-L
> Subject: continuous albuterol
> For those who use continuous albuterol in the ED, a couple of
> 1. Does your hospital use continuous albuterol on an inpatient basis
> outside the ICU?
> 2. If not, how long will you keep a patient on continuous albuterol in
> the ED?
> How long must they stay off continuous therapy before being admitted
> a regular floor bed?
> Thanks in advance for your responses.
> Steve Schexnayder, MD
> Arkansas Children's Hospital
> University of Arkansas for Medical Sciences
> 800 Marshall St., Slot 900, Little Rock, AR 72202
> Phone (501) 320-1845 Fax: (501)320-3188
> Email:[log in to unmask]
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
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