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Review
. 2022 Apr;89(4):366-372.
doi: 10.1007/s12098-021-04051-6. Epub 2022 Feb 11.

Management of Acute Asthma in Children

Affiliations
Review

Management of Acute Asthma in Children

Siddharth Mahesh et al. Indian J Pediatr. 2022 Apr.

Abstract

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.

Keywords: Acute asthma; Acute asthma emergency management; Asthma attack; Asthma exacerbation; Home management of acute asthma; Status asthmaticus.

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Comment in

  • Asthma: Advances in Management.
    Pillarisetti N, Kabra SK. Pillarisetti N, et al. Indian J Pediatr. 2022 Apr;89(4):364-365. doi: 10.1007/s12098-022-04129-9. Epub 2022 Feb 15. Indian J Pediatr. 2022. PMID: 35167011 No abstract available.

References

    1. Pardue Jones B, Fleming GM, Otillio JK, Asokan I, Arnold DH. Pediatric acute asthma exacerbations: Evaluation and management from emergency department to intensive care unit. J Asthma. 2016;53:607–17. - DOI
    1. Kumar P, Ram U. Patterns, factors associated and morbidity burden of asthma in India. PLoS One. 2017;12:e0185938.
    1. O'Byrne PM, Pedersen S, Lamm CJ, Tan WC, Busse WW. START Investigators Group. Severe exacerbations and decline in lung function in asthma. Am J Respir Crit Care Med. 2009;179:19–24.
    1. Global Initiative For Asthma. GINA Report, Glob Strat Asthma Manag Prevention. 2021. Available at: https://ginasthma.org/wp-content/uploads/2021/05/GINA-Main-Report-2021-V... . Accessed on 20 July 2021.
    1. Moriates C, Feldman L. Nebulized bronchodilators instead of metered-dose inhalers for obstructive pulmonary symptoms. J Hosp Med. 2015;10:691–3. - DOI