野外與登山醫學----16--- WMS 2019 update AMS/HACE Treatment Dexamethasone 16

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update
統一名詞翻譯
AMS 急性高山病
HACE 高海拔腦水腫
acute altitude illness 急性高海拔疾病

Dexamethasone Dexamethasone is very effective for treating AMS.73e75 The medication does not facilitate acclimatization, so further ascent should be delayed until the patient is asymptomatic while off the medication. Although systematic studies have not been conducted, extensive clinical experience supports using dexamethasone in patients with HACE. It is administered as an 8 mg dose (intramuscularly, IV, or orally) followed by 4 mg every 6 h until symptoms resolve. The pediatric dose is 0.15 mg$kg-1$dose-1 every 6 h.27 Recommendation. Dexamethasone should be considered for treatment of AMS. Recommendation Grade 1B. Recommendation. Dexamethasone should be administered to patients with HACE. Recommendation Grade: 1B