EFFICIACY OF NEBULIZED IPRATROPIUM BROMIDE IN THE TREATMENT OF ACUTE ASTHMA IN CHILDREN: RANDOMISED, DOUBLE BLIND, PLACEBO-CONTROLLED TRIAL
Aysun Şengül Gökalp, Suat Biçer, Rengin ŞiraneciABSTRACT
Material and Method: One hundred children aged between 3-17 years who presented with moderate or severe asthmatic attack (status asthmaticus) were randomly assigned to two groups in a prospective, double blind, placebo-controlled study performed in the pediatric emergency department of teaching children’s hospital. All patients received nebulized salbutamol every 20 minutes and intramuscular metilprednisolon after the first dose of salbutamol. Children in group 1 received three doses of nebulized ipratropium bromide after the third dose of salbutamol; those in group 2 received normal saline placebo every 20 minutes. Percentage of the predicted peak expiratory flow rate (PEFR), clinical asthma scores, pulse oximetry and physiologic measurements were assessed at the start of the ED visit, after salbutamol treatment and combined treatment and at 72. hour.
Results: Baseline demographics and clinical characteristics of all two groups were similar. An intention to treat analysis showed that there was no statistically significant difference in the clinical asthma score at 1 and 72 hours between two groups (p>0.05). PEFR changed from 54.28±17.22 (%) to 90.60±7.45 (p<0.05) in the first group and from 50.11±12.23 to 82.02±12.21 in the second group. There were significant differences between groups on PEFR measured at 72 hours (p<0.05). No side effects were documented in any of the patients.
Conclusion: In conclusion, this study demonstrates that addition of ipratropium bromide to salbutamol and corticosteroid therapy have a significant improvement in PEFR values and oxygen saturation even after 72th hour of treatment.
IMMUNOHISTOCHEMICAL AND ULTRASTRUCTURAL PRESENTATION OF APOPTOSIS AND AQUEOUS HUMOR’S NITRIC OXIDE LEVELS IN KERATOCONUS
05-09Emre Uzunoğlu, Neşe Lortlar, Deniz Erdoğan, Hüsamettin Erdamar, Ece Şahin Akyol, Fikret Akata
RESEARCH ARTICLE Nobel Med 2013; 9(1): 05-09THE ANALYSIS OF UNIT COST OF ADULT ANGIOGRAPHY SERVICES IN A STATE HOSPITAL BY ACTIVITY-BASED COST METHOD
10-16Halise Uğurtay, Figen Öker, Haydar Sur, İhsan Bakır, M. Şemsettin Döğücü
RESEARCH ARTICLE Nobel Med 2013; 9(1): 10-16CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR GENE MUTATIONS IN PATIENTS WITH MASSIVE NASAL POLYPOSIS
17-20Yusuf Kızıl, Mehmet Ali Ergün, Utku Aydil, Sabri Uslu
RESEARCH ARTICLE Nobel Med 2013; 9(1): 17-20COMPARISON OF THE EFFICACY OF LORNOXICAM, MEPERIDINE AND MORPHINE WITH PATIENT CONTROLLED ANALGESIA METHOD AFTER LUMBAR DISK HERNIA SURGERY
21-26Zeki Tuncel Tekgül, Avni Babacan
RESEARCH ARTICLE Nobel Med 2013; 9(1): 21-26THE EFFECTS OF NOVEL STIMULI ON P3B POTANTIAL IN AUDITORY THREE-STIMULUS PARADIGM ABSTRACT
27-33Tolgay Ergenoğlu, Fazilet Ertürk, Figen Dağ, Berrin Maraşlıgil, Mehmet Ali Sungur
RESEARCH ARTICLE Nobel Med 2013; 9(1): 27-33THE EFFECT OF GASTRIC INFLAMMATION AND HELICOBACTER PYLORI INFECTION ON LIVER HISTOLOGY IN PATIENTS WITH CHRONIC HEPATITIS B INFECTION
34-41Bahadır Ceylan, Hasan Bektaş, Gülhan Eren, Muzaffer Fincancı, Cüneyt Müderrisoğlu, Esra Paşaoğlu, Erol Rüştü Bozkurt
RESEARCH ARTICLE Nobel Med 2013; 9(1): 34-41HISTOCHEMICAL RESEARCH OF NITRIC OXIDE SYNTETAHASE AND RENIN GRANULES IN ALBINO MOUSE (BALB/ C) KIDNEY
42-48Hatice Yorulmaz, Cihan Demirci
RESEARCH ARTICLE Nobel Med 2013; 9(1): 42-48CLINICAL EVALUATION OF CHILDRENS WITH SUBACUTE SCLEROSING PANENCEPHALITIS
49-55Suat Biçer, Ömer Faruk Beşer, Gülseren Arslan, Ender Aksüyek, Canan Kocaman, Erdal Adal, Rengin Şiraneci
RESEARCH ARTICLE Nobel Med 2013; 9(1): 49-55URINARY N-ACETYL-BETA-D-GLUCOSAMINIDASE LEVELS IN CANCER PATIENTS TREATED WITH CISPLATIN
56-60Hakan Sakallı, Züleyha Çalıkuşu, Barış Sarıakçalı, Ayşe Polat, Abdullah Canataroğlu
RESEARCH ARTICLE Nobel Med 2013; 9(1): 56-60SUICIDAL IDEATIONS AND ATTEMPTS IN PATIENTS ADMITTED TO PSYCHIATRY OUTPATIENT CLINIC
61-66Demet Güleç Öyekçin, Erkan Melih Şahin
RESEARCH ARTICLE Nobel Med 2013; 9(1): 61-66EFFICIACY OF NEBULIZED IPRATROPIUM BROMIDE IN THE TREATMENT OF ACUTE ASTHMA IN CHILDREN: RANDOMISED, DOUBLE BLIND, PLACEBO-CONTROLLED TRIAL
67-75Aysun Şengül Gökalp, Suat Biçer, Rengin Şiraneci
RESEARCH ARTICLE Nobel Med 2013; 9(1): 67-75EVALUATION OF VISUOMOTOR SKILLS IN AMBLYOPIC CHILDREN WITH BENDER GESTALT TEST
76-80Cihan Ünlü, Gürkan Erdoğan, Fuat Torun, Ece Turan Vural, Tülin Bozkurt Balta, Hüseyin Bayramlar
RESEARCH ARTICLE Nobel Med 2013; 9(1): 76-80THE EFFECTS OF ANTIDEPRESSANT DRUGS ON POLYMORPHONUCLEAR LEUKOCYTE FUNCTIONS AND LEVELS OF FOLIC ACID, VITAMIN B12, ZINC AND COPPER IN MAJOR DEPRESSION
81-88Dilşad Yurdakul, Ümran Soyoğul Gürer, Erkan Rayaman, Erol Erçağ, Goncagül Haklar, Adile Çevikbaş, Aylan Gimzal Gönentür
RESEARCH ARTICLE Nobel Med 2013; 9(1): 81-88INVESTIGATION OF THE SUSCEPTIBILITY OF EXTENDED SPECTRUM BETA-LACTAMASE (ESBL) PRODUCING ESCHERICHIA COLI AND KLEBSIELLA SPP. STRAINS TO COMBINATIONS OF CARBAPENEMS AND BETA-LACTAMASE INHIBITORS
89-94Kutbettin Demirdağ, Pınar Yüce, Mehmet Özden, Ahmet Kalkan
RESEARCH ARTICLE Nobel Med 2013; 9(1): 89-94THE TREATMENT RESULTS OF MALIGN PLEURAL MESOTHELIOMA PATIENTS: A SINGLE CENTRE EXPERIENCE
95-99Celalettin Eroğlu, Okan Orhan, Neslihan Kurtul, Halit Karaca, Oğuz Galip Yıldız, Metin Özkan, Serdar Soyuer, Eray Karahacıoğlu, Bünyamin Kaplan
RESEARCH ARTICLE Nobel Med 2013; 9(1): 95-99SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?
100-105Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah Çetin
RESEARCH ARTICLE Nobel Med 2013; 9(1): 100-105THE INVESTIGATION OF NANO ULTRAVIOLET LIGHT EFFICIENCY ON DISINFECTION OF STETHOSCOPES
106-109Ayhan Akbulut, Özlem Çağaşar, Mehmet Özden, Hatice Handan Akbulut, Kudbettin Demirdağ
RESEARCH ARTICLE Nobel Med 2013; 9(1): 106-109TYPE 1 CROUZON SYNDROME WITH HEADACHE
110-112Vefik Arıca, Murat Tutanç, Hanifi Bayaroğulları, Seçil Günher Arıca, Fatmagül Başarslan, Ramazan Davran, İnan Korkmaz, Emre Ayintap
REPORT Nobel Med 2013; 9(1): 110-112PREVENTION OF RECURRENT NEPHROGENIC ADENOMA OF THE BLADDER BY INTRAVESICAL HEPARIN THERAPY
113-114Levend Özkan, Cüneyd Özkürkçügil, Kürşat Yıldız
REPORT Nobel Med 2013; 9(1): 113-114A FRONTONASAL DYSPLASIA CASE WITH ABSENCE OF FALX CEREBRI
115-117Hüseyin Altunhan, Ali Annagür, Orhan Özbek, Rahmi Örs
REPORT Nobel Med 2013; 9(1): 115-117THYROTOXIC HYPOKALEMIC PERIODIC PARALYSIS PRESENTING WITH PARAPARESIS
118-120Nurettin Özgür Doğan, Cumali Doğru, Ahmet Demircan, Ayfer Keleş, Fikret Bildik
REPORT Nobel Med 2013; 9(1): 118-120A CASE OF PARANEOPLASTIC LIMBIC ENCHEPHALITIS DUE TO GASTRIC CARCINOMA PRESENTING WITH PANHYPOPITUITARISM
121-123Seyit Mehmet Kayacan, Sezai Vatansever, Akar Yılmaz, Dilek Kayacan, Aytaç Karadağ, Vakur Akkaya, Osman Erk, Kerim Güler
REPORT Nobel Med 2013; 9(1): 121-123PROF. DR. SUAT ISMAIL GÜRKAN (1904-1983)
124-126Çağatay Üstün
A PORTRAIT Nobel Med 2013; 9(1): 124-126LIVER AND SYSTEMIC DISEASES
05-09Sebati Özdemir
REVIEW Nobel Med 2013; 9(2): 5-9AGING KIDNEY: SENESCENCE OR DISEASE?
10-14Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk
REVIEW Nobel Med 2013; 9(2): 10-14IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS
15-20Faruk Sönmezışık, Esma Sürmen Gür, Burak Asıltaş
RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER
21-25Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan
RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK
26-31Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı
RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT
32-37Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir
RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37REOPERATIONS AND MORBIDITY IN THYROID SURGERY
38-42Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin
RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY
43-46İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun
RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY
47-51İbak Gönen
RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES
52-56Ufuk Berber, İsmail Yılmaz, Tolga Tuncel, Zafer Küçükodacı Aptullah Haholu
RESEARCH ARTICLE Nobel Med 2013; 9(2): 52-56-
Pubmed Style
Aysun Şengül Gökalp, Suat Biçer, Rengin Şiraneci. [ÇOCUKLUK ÇAĞI AKUT ASTIM ATAĞI TEDAVİSİNDE NEBULİZE İPRATROPİUM BROMÜRÜN ETKİNLİĞİ: ÇİFT KÖR RANDOMİZE KONTROLLÜ ÇALIŞMA]. Nobel Med 2013; 9(1): 67-75, Turkish. -
Web Style
Aysun Şengül Gökalp, Suat Biçer, Rengin Şiraneci. [ÇOCUKLUK ÇAĞI AKUT ASTIM ATAĞI TEDAVİSİNDE NEBULİZE İPRATROPİUM BROMÜRÜN ETKİNLİĞİ: ÇİFT KÖR RANDOMİZE KONTROLLÜ ÇALIŞMA]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish. -
AMA (American Medical Association) Style
Aysun Şengül Gökalp, Suat Biçer, Rengin Şiraneci. [ÇOCUKLUK ÇAĞI AKUT ASTIM ATAĞI TEDAVİSİNDE NEBULİZE İPRATROPİUM BROMÜRÜN ETKİNLİĞİ: ÇİFT KÖR RANDOMİZE KONTROLLÜ ÇALIŞMA]. Nobel Med 2013; 9(1): 67-75, Turkish. -
Vancouver/ICMJE Style
Aysun Şengül Gökalp, Suat Biçer, Rengin Şiraneci. [ÇOCUKLUK ÇAĞI AKUT ASTIM ATAĞI TEDAVİSİNDE NEBULİZE İPRATROPİUM BROMÜRÜN ETKİNLİĞİ: ÇİFT KÖR RANDOMİZE KONTROLLÜ ÇALIŞMA]. Nobel Med (2013); 9(1): 67-75, [cited Mayıs 24, 2021], Turkish. -
Harvard Style
Aysun Şengül Gökalp, Suat Biçer, Rengin Şiraneci. (2013) [ÇOCUKLUK ÇAĞI AKUT ASTIM ATAĞI TEDAVİSİNDE NEBULİZE İPRATROPİUM BROMÜRÜN ETKİNLİĞİ: ÇİFT KÖR RANDOMİZE KONTROLLÜ ÇALIŞMA]. Nobel Med, 9(1): 67-75, Turkish.