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14:39
Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Asthma diagnosis and management
Ariana Murata1, Patrick M Ling
1Division of Emergency Medicine, Royal University Hospital, University of Saskatchewan, Room 2684, 103 Hospital Drive, Saskatoon, Saskatchewan S7N 0W8, Canada.
Emergency Medicine Clinics of North America
|April 11, 2012
Summary
This review covers the emergency department (ED) diagnosis and management of asthma exacerbations. Prompt treatment with bronchodilators and corticosteroids, based on severity, is key for patient recovery and safe discharge.
Area of Science:
- Emergency Medicine
- Pulmonology
- Clinical Therapeutics
Background:
- Asthma is a prevalent chronic inflammatory airway disease frequently encountered in emergency departments.
- Effective management of asthma exacerbations requires timely diagnosis and intervention.
Purpose of the Study:
- To provide an evidence-based review of asthma diagnosis and management in the emergency department setting.
- To outline treatment strategies based on exacerbation severity and discuss disposition criteria.
Main Methods:
- Review of current evidence-based guidelines and literature on asthma diagnosis and management.
- Analysis of treatment modalities including standard and adjunctive therapies.
- Evaluation of criteria for safe patient disposition from the emergency department.
Main Results:
- Early recognition and prompt initiation of treatment are critical for managing asthma exacerbations.
- Treatment selection, including bronchodilators and corticosteroids, is guided by exacerbation severity.
- Adjunctive therapies such as magnesium, heliox, and noninvasive ventilation may be considered.
Conclusions:
- Effective emergency department management of asthma involves prompt, severity-guided treatment.
- Safe disposition requires clinical stabilization, adequate treatment response, and achievement of target peak flow measurements.
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