Management of Acute Asthma in Children

被引:0
作者
Siddharth Mahesh
Mahesh Babu Ramamurthy
机构
[1] Health Education England (West Midlands),West Midlands Deanery
[2] Health Education England,Division of Pediatric Pulmonology and Sleep, Department of Pediatrics
[3] KTPNUCMI,Department of Pediatrics
[4] National University Hospital,undefined
[5] YLLSOM,undefined
[6] National University of Singapore,undefined
来源
Indian Journal of Pediatrics | 2022年 / 89卷
关键词
Acute asthma; Asthma exacerbation; Status asthmaticus; Home management of acute asthma; Acute asthma emergency management; Asthma attack;
D O I
暂无
中图分类号
学科分类号
摘要
Asthma is the most common disease of childhood globally and acute asthma is the most significant risk factor for asthma-related death and chronic complications. This article will aim to synthesize the most up-to-date research and translate it into a more practical guide to managing acute asthma on a more daily basis. The use of clinical severity score is reviewed alongside the use of history and clinical findings in making objective assessments of patients presenting with acute asthma. Practical evidence-based pathways and a stepwise approach are provided for management of acute asthma in the home, outpatient, emergency, and intensive care settings. In doing so, popular myths are dispelled and practices in relation to management of acute asthma and use of asthma related medications are clarified. Having a standardized approach to management of acute asthma will bring us one step closer to reducing exacerbations and achieving the goal of having zero tolerance towards exacerbations.
引用
收藏
页码:366 / 372
页数:6
相关论文
共 43 条
[1]  
Pardue Jones B(2016)Pediatric acute asthma exacerbations: Evaluation and management from emergency department to intensive care unit J Asthma 53 607-617
[2]  
Fleming GM(2015)Nebulized bronchodilators instead of metered-dose inhalers for obstructive pulmonary symptoms J Hosp Med 10 691-693
[3]  
Otillio JK(1987)75 deaths in asthmatics prescribed home nebulisers Br Med J (Clin Res Ed) 294 477-480
[4]  
Asokan I(2018)Quintupling inhaled glucocorticoids to prevent childhood asthma exacerbations N Engl J Med 378 891-901
[5]  
Arnold DH(2013)Combined inhaled anticholinergics and short-acting beta2-agonists for initial treatment of acute asthma in children Paediatr Respir Rev 14 234-235
[6]  
Moriates C(2013)Intravenous and nebulized magnesium sulfate for treating acute asthma in adults and children: a systematic review and meta-analysis Respir Med 107 321-330
[7]  
Feldman L(2005)Clinical efficacy of racemic albuterol versus levalbuterol for the treatment of acute pediatric asthma Ann Emerg Med 46 29-36
[8]  
Sears MR(2015)Evaluation and treatment of critical asthma syndrome in children Clin Rev Allergy Immunol 48 66-83
[9]  
Rea HH(2014)A review of the use of adjunctive therapies in severe acute asthma exacerbation in critically ill children Expert Rev Respir Med 8 423-441
[10]  
Fenwick J(2014)Early administration of terbutaline in severe pediatric asthma may reduce incidence of acute respiratory failure Ann Allergy Asthma Immunol 112 207-210