Acute asthma exacerbation in children

Robinson, Paul and Chang, Anne B. (2008) Acute asthma exacerbation in children. BMJ Point of Care, .

Author Robinson, Paul
Chang, Anne B.
Title Acute asthma exacerbation in children
Journal name BMJ Point of Care
Publication date 2008
Sub-type Article (original research)
Place of publication London, U.K.
Publisher BMJ Group
Language eng
Formatted abstract • Despite the stabilisation of asthma incidence in recent years, asthma exacerbations remain a major cause of morbidity in children.
• Presents with acute or sub-acute onset of wheeze and respiratory distress, the symptoms and signs of which vary depending on the developmental and maturational age of the child.
• Triggers include viral or bacterial infection, inhaled allergens, environmental irritants, emotion, medications, and poor adherence with preventive therapy.
• The majority of children will respond to initial bronchodilator therapy; oral corticosteroids should be initiated early in those who do not respond to regular bronchodilator therapy.
• Patients with severe cases require oxygen, nebulised/intravenous bronchodilators, and intravenous corticosteroids and may require magnesium sulphate infusion, intravenous bronchodilators, and intramuscular adrenaline (if anaphylaxis is present).
• Severe and life-threatening cases may require non-invasive ventilation or intubation, and the intensive care team should be involved as early as possible.
• In children not responding to standard asthmatic treatment, other differential diagnoses should be considered.
• On discharge from the hospital, a clear asthma management plan and asthma education is essential to optimise asthma control and prevent future exacerbations.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Also known as "Paediatric acute asthma".

Document type: Journal Article
Sub-type: Article (original research)
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Created: Tue, 20 Dec 2011, 11:37:39 EST by Jane Medhurst on behalf of Queensland Children's Medical Research Institute