Management of acute asthma

Hospitalization due to acute severe asthma represents a failure in the preventive, long-term as well as home care of asthma. Recognition of danger signs and prompt treatment can prevent the risk of morbidity and mortality of an acute asthma episode. The principle pharmacological management is use of inhaled beta2 sympathomemetrics and systemic steroids given with monitoring of respiratory status with the help of clinical parameters and pulmonary function tests. In patients non responsive to routine management, there is a role of inhaled cholinergic compounds, intravenous magnesium sulphate, and beta2 sympathomemetic infusion. Patients in respiratory failure need intensive care. Carefully managed prognosis of an acute attack of asthma is good.