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Related Concept Videos

Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

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Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
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Asthma-I: Introduction01:29

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Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
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Asthma-IV: Diagnostic and Management01:30

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The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
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Asthma-II: Pathophysiology and Classification01:26

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Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
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Asthma: Pathogenesis and Management01:20

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Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
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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.
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Difficult and Severe Asthma in Children.

Federica Porcaro1, Nicola Ullmann1, Annalisa Allegorico1

  • 1Pediatric Pulmonology & Respiratory Intermediate Care Unit, Sleep and Long-Term Ventilation Unit, Academic Department of Pediatrics, and Genetic Research Area, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

Children (Basel, Switzerland)
|December 16, 2020
PubMed
Summary

Pediatric asthma management requires careful assessment to distinguish difficult-to-control asthma from severe therapy-resistant asthma. Identifying and addressing modifiable factors early improves outcomes for difficult asthma cases.

Keywords:
asthmabiologic drugschildrendifficult asthmasevere asthma

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Area of Science:

  • Pediatric Pulmonology
  • Allergy and Immunology
  • Clinical Pediatrics

Background:

  • Asthma is a prevalent chronic lower airway inflammatory disease in children, posing ongoing challenges for pediatricians.
  • While most pediatric asthma patients achieve symptom control with standard treatments, a subset experiences persistent, uncontrolled asthma.

Purpose of the Study:

  • To outline the necessity of a multidisciplinary assessment for children with uncontrolled persistent asthma.
  • To emphasize the importance of differentiating difficult asthma from true severe therapy-resistant asthma.

Main Methods:

  • Systematic assessment encompassing comorbidities, treatment adherence, environmental exposures, and psychosocial factors.
  • Identification of modifiable factors contributing to asthma severity.

Main Results:

  • Distinguishing difficult asthma from severe therapy-resistant asthma is crucial for appropriate management.
  • Early intervention on modifiable factors can enhance control in difficult asthma cases, potentially avoiding invasive procedures.

Conclusions:

  • A thorough, multidisciplinary evaluation is essential for children with uncontrolled asthma.
  • Accurate diagnosis of severe therapy-resistant asthma ensures timely access to advanced biological therapies and avoids treatment delays.