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[Management of severe asthma in childhood (author's transl)]
Insights
Severe asthma attacks require prompt diagnosis and treatment focusing on airway obstruction. Key interventions include intravenous therapy for secretions, bronchodilators, and anti-inflammatory medications like glucocorticoids.
Area of Science:
- Pulmonology
- Critical Care Medicine
Context:
- Severe asthma exacerbations present a significant clinical challenge requiring immediate and comprehensive management strategies.
- Effective diagnosis of severe asthma attacks is crucial for initiating timely and appropriate therapeutic interventions.
Purpose:
- This abstract outlines the essential diagnostic steps and therapeutic modalities for managing severe asthma attacks.
- To provide a concise overview of the pharmacological and supportive treatments for severe asthma exacerbations.
Summary:
- Diagnosis involves patient history, laboratory tests, and chest X-ray.
- Treatment focuses on relieving bronchospasm with beta-2 agonists and xanthines, mobilizing secretions via intravenous therapy, and reducing mucosal edema with glucocorticoids.
- Antibiotics are reserved for specific indications, and sedatives should be used cautiously.
Impact:
- Establishes a clear, evidence-based approach to severe asthma management.
- Aims to improve patient outcomes by detailing critical treatment components and precautions.
Abstract:
Generally the severe attack of asthma can be diagnosed without problems. Before the beginning of treatment a short history should be taken, laboratory tests should be started and a chest X-ray be ordered. The administered drugs are supposed to treat the obstruction of the airways. The inspissated endotracheal secretions are liquified and mobilised by a consequent intravenous therapy. A selective beta-2-receptor stimulans and xanthines are administered to relax the bronchospasm. In severe cases glucocorticoids are given at the same time to diminish the inflammatory edema of the bronchiolar mucosa. Antibiotics are only used if indicated, nor routinely. Sedatives should be administered very cautiously.