Advertisement

Bronchial Asthma

  • G. Krishna Prasad
  • Prakash E. George
  • Jebu A. Thomas
Chapter

Abstract

  • A clinical diagnosis of asthma should be suspected in patients with intermittent symptoms of wheezing, coughing, chest tightness, and breathlessness.

  • Objective measurements of lung function, preferably using spirometry or peak flow meters, are needed to confirm the diagnosis.

  • All asthma patients presenting with an acute episode should be given a rapid-acting bronchodilator for rapid relief of symptoms.

  • Other add-on therapies for acute management include systemic corticosteroids, ipratropium bromide, etc., which should be instituted according to the severity of bronchial asthma.

  • Close monitoring and reassessment at frequent intervals holds the key in the proper management of acute asthma.

Keywords

Airflow Obstruction Acute Asthma Peak Expiratory Flow Rate Magnesium Sulphate Ipratropium Bromide 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Adams JY, Sutter ME, Albertson TE. The patient with asthma in the emergency department. Clin Rev Allerg Immunol. 2012;43(1–2):14–29.CrossRefGoogle Scholar
  2. 2.
    Ferkol T, Schraufnagel D. The global burden of respiratory disease. Ann Am Thorac Soc. 2014;11(3):404–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Innes Asher et al. The global asthma report 2014. Auckland: Global Asthma Network; 2014. www.globalasthmareport.org/resources/.
  4. 4.
    World Health Organization. WHO factsheet 206: bronchial asthma. Available at: www.who.int/mediacentre/factsheets/fs206/en. Last accessed 19 Apr 2015.
  5. 5.
    National Asthma Education and Prevention Program Expert Panel: report 3: guidelines for the Diagnosis and Management of Asthma. NIH Publication No. 08-5846. Washington: U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute; 2007.Google Scholar
  6. 6.
    Murphy DM, O’Byrne PM. Recent advances in the pathophysiology of asthma. Chest. 2010;137:1417.CrossRefPubMedGoogle Scholar
  7. 7.
    Anderson WJ, Watson L. Asthma and the hygiene hypothesis. N Engl J Med. 2001;344(21):1643–4.CrossRefPubMedGoogle Scholar
  8. 8.
    Adrian Shifren, Chad Witt, Chandrika Christie, Mario Castro. Mechanisms of remodeling in asthmatic airways. J Allergy 2012;2012:316049. 12 p.Google Scholar
  9. 9.
    Global initiative for Asthma. Global strategy for asthma management and prevention [Internet]. http://www.ginasthma.org. Last updated Apr 2015. Last accessed 12 May 2015.
  10. 10.
    BTS/SIGN British guideline on the management of asthma. Revised ed. Oct 2014 [Internet]. http://www.brit-thoracic.org.uk/guidelines-and-quality-standards/asthma-guideline. Last accessed 12 May 2015.
  11. 11.
    Morris MJ. Asthma treatment and management. Medscape [Internet]. Available at http://emedicine.medscape.com/article/296301-treatment#aw2aab6b6b7. Accessed 12 May 2015.
  12. 12.
    Rai SP, et al. Best treatment guidelines for bronchial asthma. MJAFI. 2007;63:264–8.Google Scholar
  13. 13.
    Jindal SK, Gupta D, Aggarwal AN, Agarwal R, World Health Organization; Government of India. Guidelines for management of asthma at primary and secondary levels of health care in India (2005). Indian J Chest Dis Allied Sci. 2005;47(4):309–43. Review.PubMedGoogle Scholar
  14. 14.
    Simons FER, Ardusso LRF, Bilò MB, et al. World Allergy Organization guidelines for the assessment and management of anaphylaxis. World Allergy Organ J. 2011;4(2):13–37.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Chung KF, et al. International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma. Eur Respir J. 2014;43(2):343–73.CrossRefPubMedGoogle Scholar
  16. 16.
    Soroksky A, et al. Noninvasive positive pressure ventilation in acute asthmatic attack. Eur Respir Rev. 2010;19(115):39–45.CrossRefPubMedGoogle Scholar
  17. 17.
    Brenner B, Corbridge T, Kazzi A. Intubation and mechanical ventilation of the asthmatic patient in respiratory failure. J Allergy Clin Immunol. 2009;124(2 Suppl):S19.CrossRefPubMedGoogle Scholar
  18. 18.
    Papiris S, et al. Clinical review. Severe asthma. Crit Care. 2002;6(1):30.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  • G. Krishna Prasad
    • 1
  • Prakash E. George
    • 1
  • Jebu A. Thomas
    • 1
  1. 1.Emergency DepartmentPushpagiri Medical College HospitalThiruvallaIndia

Personalised recommendations