Managing the paediatric patient with an acute asthma exacerbation.

Abstract:

:Children with acute asthma exacerbations frequently present to an emergency department with signs of respiratory distress. The most severe episodes are potentially life-threatening. Effective treatment depends on the accurate and rapid assessment of disease severity at presentation. This statement addresses the assessment, management and disposition of paediatric patients with a known diagnosis of asthma who present with an acute asthma exacerbation, especially preschoolers at high risk for persistent asthma. Guidance includes the assessment of asthma severity, treatment considerations, proper discharge planning, follow-up, and prescription for inhaled corticosteroids to prevent exacerbation and decrease chronic morbidity. :Les enfants ayant des exacerbations aiguës de l’asthme consultent souvent à l’urgence parce qu’ils présentent des signes de détresse respiratoire. Les crises les plus graves peuvent mettre en jeu le pronostic vital. L’efficacité du traitement dépend de l’évaluation exacte et rapide de la gravité de la maladie à la présentation. Le présent document de principes porte sur l’évaluation, la prise en charge et la conduite à tenir auprès des patients pédiatriques ayant un diagnostic connu d’asthme qui consultent en raison d’une exacerbation aiguë de l’asthme, notamment les enfants d’âge préscolaire très vulnérables à un asthme persistant. Les conseils incluent l’évaluation de la gravité de l’asthme, les considérations thérapeutiques, la planification convenable du congé, le suivi et une prescription de corticoïde par aérosol pour prévenir les exacerbations et réduire la morbidité chronique.

journal_name

Paediatr Child Health

authors

Ortiz-Alvarez O,Mikrogianakis A,Canadian Paediatric Society, Acute Care Committee.

doi

10.1093/pch/17.5.251

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

251-62

issue

5

eissn

1205-7088

issn

1918-1485

journal_volume

17

pub_type

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