West Midlands Deanery, Health Education England (West Midlands), Health Education England, West Midlands, Birmingham, UK.
Division of Pediatric Pulmonology and Sleep, Department of Pediatrics, KTPNUCMI, National University Hospital, Singapore, 119228, Singapore.
Indian J Pediatr. 2022 Apr;89(4):366-372. doi: 10.1007/s12098-021-04051-6. Epub 2022 Feb 11.
Asthma is the most common disease of childhood globally and acute asthma is the most significant risk factor for asthma-related death and chronic complications. This article will aim to synthesize the most up-to-date research and translate it into a more practical guide to managing acute asthma on a more daily basis. The use of clinical severity score is reviewed alongside the use of history and clinical findings in making objective assessments of patients presenting with acute asthma. Practical evidence-based pathways and a stepwise approach are provided for management of acute asthma in the home, outpatient, emergency, and intensive care settings. In doing so, popular myths are dispelled and practices in relation to management of acute asthma and use of asthma related medications are clarified. Having a standardized approach to management of acute asthma will bring us one step closer to reducing exacerbations and achieving the goal of having zero tolerance towards exacerbations.
哮喘是全球最常见的儿童疾病，急性哮喘是哮喘相关死亡和慢性并发症的最重要危险因素。本文旨在综合最新的研究，并将其转化为更实用的指南，以便更日常地管理急性哮喘。本文回顾了临床严重程度评分的使用，以及在对急性哮喘发作患者进行客观评估时，病史和临床发现的使用。提供了家庭、门诊、急诊和重症监护环境中急性哮喘管理的循证实用途径和逐步方法。通过这样做，消除了流行的误解，并澄清了与急性哮喘管理和使用哮喘相关药物有关的做法。对急性哮喘管理采用标准化方法，将使我们离减少加重和实现零容忍加重的目标更近一步。
