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- Kyle A Nelson and Joseph J Zorc.
- The University of Pennsylvania School of Medicine, The Children's Hospital of Philadelphia, Department of Pediatrics, Philadelphia, PA 19104, USA. nelsonk@email.chop.edu
- Adolesc Med State Art Rev. 2010 Apr 1; 21 (1): 21-33, vii.
AbstractCurrent management of acute asthma has been defined in clinical practice guidelines developed from systematic reviews and expert opinion. Initial treatment with inhaled high-dose beta-agonists and anticholinergics is recommended for severe exacerbations. Most patients treated in emergency departments should receive systemic corticosteroids. Adjunctive therapy for those not improving is less well-defined, but options include intravenous magnesium sulfate and heliox-driven nebulized beta-agonists. Poor adherence to preventive therapies and infrequent primary care follow-up are well documented among children and adolescents treated in emergency departments. These factors may contribute to disparities in outcomes for minority populations and are important considerations during acute care visits.
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