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Management of acute pediatric asthma

John C Carl1, Carolyn M Kercsmar

  • 1Department of Pediatrics, Division of Pulmonology, University Hospitals of Cleveland, 11100 Euclid Avenue, Suite 3001, Cleveland, OH 44106, USA. john.carl@uhhs.com

Current Allergy and Asthma Reports
|October 3, 2002
PubMed

Insights

Pediatric asthma is rising, with severe exacerbations requiring emergency care. This review covers the pathophysiology, evaluation, and treatment of severe asthma attacks, also known as status asthmaticus.

Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Clinical Pediatrics

Background:

  • Increasing prevalence, morbidity, and severity of pediatric asthma.
  • Significant financial burden of pediatric asthma care, with over 40% of costs in the US attributed to emergency and inpatient services.
  • Healthcare providers frequently encounter children with severe respiratory distress due to acute asthma.

Purpose of the Study:

  • To provide a comprehensive review of severe asthma exacerbations in children.
  • To detail the pathophysiology, diagnostic evaluation, and management strategies for status asthmaticus in pediatric patients.
  • To equip healthcare professionals with essential knowledge for treating critical asthma cases.

Main Methods:

  • Literature review focusing on pathophysiology, clinical presentation, and treatment of severe pediatric asthma.
  • Synthesis of current evidence regarding the evaluation and management of acute asthma exacerbations.
  • Analysis of data related to the economic impact of pediatric asthma care.

Main Results:

  • Severe asthma exacerbations, or status asthmaticus, represent a critical clinical challenge in pediatric care.
  • Effective management requires a thorough understanding of underlying pathophysiological mechanisms.
  • Timely and appropriate evaluation and treatment are crucial for improving outcomes and reducing healthcare costs.

Conclusions:

  • Status asthmaticus in children necessitates prompt recognition and intervention.
  • A multidisciplinary approach to managing severe pediatric asthma exacerbations is recommended.
  • Further research into cost-effective treatment strategies for pediatric asthma is warranted.

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