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Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

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COPD: Management Using Bronchodilators and Corticosteroids01:26

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Chronic Obstructive Pulmonary Disease-V: Management01:29

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Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
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Asthma-IV: Nursing Management01:30

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The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
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Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

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Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
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Antiasthma Drugs: Leukotriene Modifiers01:19

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Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
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Updated: Feb 27, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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Nonpharmacologic Therapy for Severe Persistent Asthma.

Chase Hall1, Linda Nici2, Shweta Sood1

  • 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Washington University School of Medicine, St Louis, Mo.

The Journal of Allergy and Clinical Immunology. in Practice
|July 11, 2017
PubMed
Summary
This summary is machine-generated.

Nonpharmacologic asthma therapies like pulmonary rehabilitation and bronchial thermoplasty offer significant benefits. These approaches complement traditional treatments, improving quality of life and reducing exacerbations for severe asthma patients.

Keywords:
Breathing techniquesBronchial thermoplastyNonpharmacologic therapyPulmonary rehabilitation

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Area of Science:

  • Pulmonology
  • Respiratory Medicine
  • Clinical Therapeutics

Background:

  • Asthma management primarily relies on guideline-based pharmacologic therapies.
  • Nonpharmacologic interventions for asthma, including pulmonary rehabilitation, breathing techniques, and bronchial thermoplasty, are underappreciated.
  • Severe asthma unresponsive to maximal medical therapy requires alternative treatment strategies.

Purpose of the Study:

  • To highlight the significant, yet often overlooked, role of nonpharmacologic therapies in asthma management.
  • To review the evidence supporting pulmonary rehabilitation, breathing techniques, and bronchial thermoplasty in asthma.
  • To emphasize the complementary nature of these therapies to pharmacologic treatments for severe asthma.

Main Methods:

  • Review of existing literature on nonpharmacologic asthma therapies.
  • Analysis of studies on pulmonary rehabilitation, focused breathing techniques, and bronchial thermoplasty.
  • Examination of evidence for improved quality of life and reduced exacerbations.

Main Results:

  • Pulmonary rehabilitation improves dyspnea, cardiopulmonary fitness, compliance, and reduces healthcare utilization.
  • Exercise programs in asthma patients show a reduction in inflammatory mediators.
  • Bronchial thermoplasty demonstrates long-term improvements in quality of life and reduced exacerbations in severe asthma.
  • Bronchial thermoplasty exhibits disease-modifying effects on airway smooth muscle, inflammation, and nerve endings.

Conclusions:

  • Nonpharmacologic therapies are crucial adjuncts to pharmacologic asthma treatment.
  • Pulmonary rehabilitation and bronchial thermoplasty offer significant benefits for asthma patients, particularly those with severe disease.
  • These complementary therapies enhance overall asthma management and patient outcomes.