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Published on: November 4, 2010

Survey of the management of acute asthma in children

J Widger, B Elnazir

    Irish Medical Journal
    |January 30, 2010
    PubMed

    Insights

    This study surveyed Irish pediatricians on acute asthma management, finding practices largely align with international guidelines. However, wider availability of asthma action plans is needed to further improve pediatric asthma care.

    Area of Science:

    • Pediatric Emergency Medicine
    • Respiratory Medicine
    • Clinical Practice Guidelines

    Background:

    • Acute asthma is a frequent pediatric emergency department presentation.
    • International guidelines for acute pediatric asthma management exist.
    • This study assessed Irish pediatric asthma management against international standards.

    Discussion:

    • Most Irish centers have written protocols for acute asthma.
    • Inhaler device (MDI) and spacer use is common, but dosing varies.
    • Availability of asthma action plans in emergency departments (29%) and wards (53%) is suboptimal.

    Key Insights:

    • Irish pediatric asthma management generally follows international guidelines.
    • Variability in MDI dosing and limited asthma action plan availability are key concerns.
    • A national asthma strategy could enhance care consistency.

    Outlook:

    • Further research into optimizing MDI dosing is warranted.
    • Implementing standardized asthma action plans across all pediatric settings is recommended.
    • A national asthma strategy could improve overall pediatric asthma outcomes.

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