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Updated: Sep 26, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Current trends in management of pediatric asthma
1Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Wetern Reserve University, Cleveland, Ohio 44106, USA. carolyn.kercsmar@uhhs.com.
Insights
Asthma management can be improved with standardized care paths and updated treatments. While not curable, effective asthma control is achievable through evidence-based strategies and proper medication delivery.
Area of Science:
- Pulmonology
- Allergy and Immunology
- Clinical Practice Guidelines
Background:
- Asthma management varies significantly across healthcare settings, often influenced by physician preference over data-driven approaches.
- Existing treatments can effectively control asthma, but optimal strategies for acute and chronic cases require standardization.
Purpose of the Study:
- To evaluate the impact of standardized care paths on the quality and cost of acute asthma management.
- To explore the benefits of newer pharmacotherapies and inhalation techniques for improving asthma outcomes.
- To address controversies in chronic asthma management, particularly for patients with suboptimal response to inhaled corticosteroids.
Main Methods:
- Implementation of carefully designed care paths for acute asthma in emergency and inpatient settings.
- Utilization of newer beta-agonist medications and optimized inhalation delivery systems.
- Assessment-driven care paths administered by respiratory therapists and nurses.
Main Results:
- Care paths can enhance the quality of care and reduce management costs for acute asthma.
- Improved patient outcomes and satisfaction may result from using advanced beta agonists and appropriate inhalation devices.
- Assessment-driven care paths demonstrate safe and effective administration by allied health professionals.
Conclusions:
- Standardized, data-driven care paths are crucial for consistent and cost-effective asthma management.
- Optimizing pharmacotherapy and delivery systems can significantly improve asthma control and patient experience.
- Further research is needed to resolve controversies in managing difficult-to-treat chronic asthma.
Abstract:
Though asthma cannot be cured, it can be effectively controlled with existing treatments. Management strategies for acute and chronic asthma often vary substantially within and among medical facilities and practices, often driven by physician preference and familiarity rather than by data. The use of carefully designed care paths can improve quality of care and decrease management costs of acute asthma in both the emergency department and in-patient setting. Using newer beta agonists and attention to proper inhalation delivery systems may also improve outcomes and patient satisfaction. Assessment-driven care paths can be safely and effectively administered by respiratory therapists and nurses. The major controversies in the management of chronic asthma center on what to do for the patient who fails to respond to low or moderate doses of inhaled corticosteroids. The addition of a long-acting beta agonist or a leukotriene receptor antagonist may be beneficial.
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