Emergent management of acute asthma.


Journal Article (Review)

In almost no other field is the gap between diagnostic and therapeutic knowledge and its general application so great as it is in asthma. As previously mentioned, most asthma deaths are preventable. Identification of high-risk patients, intensive education about asthma (purpose of each medication; necessity of compliance, particularly with inhaled corticosteroids; proper use of inhalers and spacer devices; home use of PEFR meter), self-treatment of mild or moderate attacks with oral corticosteroids, and written crisis plan for severe attacks explicitly telling the patient what to do and whom to call are necessary. In addition, all potential exacerating factors should be eliminated (external triggers, medication, gastroesophageal reflux, allergic rhinitis, and sinusitis). High doses of inhaled corticosteroids should be provided to all those patients, and referral to a specialist is highly recommended for such high-risk patients.

Full Text

Duke Authors

Cited Authors

  • Abou-Shala, N; MacIntyre, N

Published Date

  • July 1996

Published In

Volume / Issue

  • 80 / 4

Start / End Page

  • 677 - 699

PubMed ID

  • 8691921

Pubmed Central ID

  • 8691921

International Standard Serial Number (ISSN)

  • 0025-7125

Digital Object Identifier (DOI)

  • 10.1016/s0025-7125(05)70463-6


  • eng

Conference Location

  • United States