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Updated: Oct 5, 2025

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Emergency department management of acute asthma exacerbations
Steven M Hochman1, Anthony Catapano2, Arsalan Shawl3
1Clinical Assistant Professor, Medical Director of Research, Department of Emergency Medicine, St. Joseph's University Medical Center, Paterson, NJ; Rowan University School of Osteopathic Medicine, Stratford, NJ.
Abstract:
Asthma is a disease of the airways characterized by inflammation, hyperresponsiveness, and bronchoconstriction. The diagnosis is primarily a clinical one, based on a focused history and physical examination, to differentiate from other entities such as heart failure, pneumonia, and pulmonary embolism. Radiographs, laboratory studies, and blood gases are not routinely recommended, except in atypical or refractory cases, or if there is diagnostic uncertainty. The cornerstone of acute asthma treatment includes short-acting beta agonists, anticholinergics, and systemic corticosteroids. This issue reviews the latest evidence in diagnostic and treatment strategies, including other pharmacologic treatments and newer management strategies to avoid intubation.
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