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Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!
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November 27, 2017 at 1:49 am
Since one of the main outcomes of studies of IV magnesium for acute asthma exacerbations is typically need for hospital admission, it seems that patients that respond to magnesium + other therapies can be discharged home. A 2016 Cochrane review of magnesium for asthma in children found only 5 studies with 182 patients that compared IV magnesium to placebo. https://www.ncbi.nlm.nih.gov/pubmed/27126744 IV magnesium reduced the odds of hospital admission by 68% (OR 0.32, 95%CI 0.14-0.74). The number needed to treat was 5 children for every 1 admission prevented.