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The 'crashing asthmatic.'.

James C Higgins1

  • 1Family Practice Residency Program, Naval Hospital, Jacksonville, Florida, USA. jchiggdo@aol.com

American Family Physician
|March 20, 2003
PubMed
Summary
This summary is machine-generated.

Identifying severe asthma patients is crucial for preventing life-threatening complications. Aggressive management and objective pulmonary monitoring are key for those at high risk of severe asthma exacerbations.

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Area of Science:

  • Pulmonology
  • Critical Care Medicine

Background:

  • Asthma affects 8-10% of the U.S. population, with 5-10% experiencing severe, treatment-resistant disease.
  • Identifying patients with severe asthma is vital to prevent severe exacerbations and life-threatening outcomes.

Purpose of the Study:

  • To highlight the importance of identifying severe asthma patients.
  • To emphasize objective monitoring and risk factors for severe asthma.

Main Methods:

  • Review of current asthma management strategies.
  • Identification of risk factors associated with severe asthma.
  • Discussion of acute and advanced therapeutic interventions.

Main Results:

  • Objective monitoring of pulmonary status with a peak flow meter is essential for persistent asthma.

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  • Risk factors for severe asthma include fragmented healthcare, intubation history, hospitalization, mental illness, and psychosocial stressors.
  • Standard acute therapy includes oxygen, beta2 agonists, and systemic corticosteroids, with inhaled anticholinergics for added bronchodilation.

    • Conclusions:

    • Aggressive management is necessary for severe asthma patients at high risk.
    • Individualized advanced therapies like parenteral beta2 agonists, magnesium sulfate, aminophylline, leukotriene inhibitors, or positive pressure mask ventilation should be considered for patients not responding to standard treatment before intubation.