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- W2063896364 abstract "One hundred nine episodes of acute bronchial asthma were studied both before and after treatment in the emergency department, comparing the pulse rate, respiratory rate, and pulsus paradoxus to the one second forced expiratory volume (FEV<sub>1</sub>). The purpose of this study was to assess the reliability of these clinical parameters in predicting the degree of airway obstruction in acute bronchial asthma. Pulse, respiratory rate, and pulsus paradoxus showed poor correlation to FEV<sub>1</sub> (or % predicted value) both pre- and post-treatment. Further, of all patients presenting with a pre-treatment FEV<sub>1</sub> less than or equal to 1.0 liter, 36% had a normal pulse (⩽ 100/min), 17% had a respiratory rate less than or equal to 20/min, and 33% had no pulsus paradoxus. Following therapy, 44% of those patients with persistent severe airway obstruction (FEV<sub>1</sub> ⩽ 1.6 L) had a normal pulse, 38% had a respiratory rate less than or equal to 20/min, and 71% had no pulsus paradoxus. Pulse rate, respiratory rate, and degree of pulsus paradoxus are unreliable indices of the degree of airway obstruction in the assessment of acute bronchial asthma, and abnormalities of these clinical parameters tend to disappear with minimal improvement in airway obstruction. Thus pulse rate, respiratory rate, and pulsus paradoxus cannot be substituted for pulmonary function measurements in assessing acute bronchial asthma." @default.
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- W2063896364 date "1983-02-01" @default.
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- W2063896364 title "Vital signs including pulsus paradoxus in the assessment of acute bronchial asthma" @default.
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- W2063896364 doi "https://doi.org/10.1016/s0196-0644(83)80377-1" @default.
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