Emergency department treatment of asthma in children: A review

Moon O Lee1, Shyam Sivasankar1, Nicholas Pokrajac1

  • 1Department of Emergency Medicine Stanford University School of Medicine Stanford California USA.

Insights

This review outlines the best practices for diagnosing and treating acute asthma exacerbations in children presenting to the emergency department (ED), aiming to improve outcomes and reduce hospital admissions.

Area of Science:

  • Pediatric Emergency Medicine
  • Respiratory Medicine
  • Clinical Practice Guidelines

Background:

  • Asthma is a prevalent chronic respiratory illness in children, leading to over 700,000 emergency department visits annually.
  • Acute asthma exacerbations present with a spectrum of severity, from mild symptoms to life-threatening conditions.
  • Effective emergency department (ED) management is crucial for improving patient outcomes and minimizing hospitalizations.

Purpose of the Study:

  • To review and present the optimal diagnostic and treatment strategies for acute asthma exacerbations in pediatric patients in the ED.
  • To provide an evidence-based approach informed by the latest clinical guidelines.
  • To enhance the care of children experiencing severe asthma attacks.

Main Methods:

  • Literature review of recent guidelines and studies on pediatric asthma management in emergency settings.
  • Synthesis of current evidence for diagnosis and treatment protocols.
  • Focus on standardized approaches for acute exacerbations.

Main Results:

  • Standardized treatment protocols in the ED can significantly improve patient outcomes.
  • Early and appropriate interventions can lead to fewer hospital admissions.
  • Adherence to recent guidelines ensures optimal care for pediatric asthma patients.

Conclusions:

  • Optimal diagnosis and treatment of acute asthma exacerbations in children presenting to the ED are critical.
  • Implementing guideline-based care can reduce morbidity and healthcare resource utilization.
  • This review provides a framework for evidence-based management in pediatric emergency care.

Related Concept Videos

Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.8K
Antiasthma Drugs: β2-Adrenoceptor Agonists01:25

Antiasthma Drugs: β2-Adrenoceptor Agonists

Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
1.4K
Asthma-I: Introduction01:29

Asthma-I: Introduction

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...
3.0K
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

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.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
1.5K
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

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...
3.5K
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

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
2.9K