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3.6.2 - Asthma

from Section 3.6 - Acute Respiratory Failure

Published online by Cambridge University Press:  27 July 2023

By
Leon Cloherty  and
Gary Masterson
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Asthma is difficult to diagnose and may coexist with chronic obstructive pulmonary disease.

  2. 2. Be aware of the markers of life-threatening asthma.

  3. 3. Administer steroids quickly.

  4. 4. Give high-dose oxygen.

  5. 5. Antibiotics are rarely indicated in acute asthma.

Keywords

asthmaICUcritical carepermissive hypercapnia
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 222 - 225
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

British Thoracic Society. 2021. BTS/SIGN British guideline on the management of asthma. www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/Google Scholar
Busse, WW, Calhoun, WF, Sedgwick, JD. Mechanism of airway inflammation in asthma. Am Rev Respir Dis 1993;147(6 Pt 2):S20–4.CrossRefGoogle ScholarPubMed
European Respiratory Society. EUROPEAN LUNG white book. www.erswhitebook.orgGoogle Scholar
Gibbison, B, Griggs, K, Mukherjee, M, et al. Ten years of asthma admissions to adult critical care units in England and Wales. BMJ Open 2013;3:e003420.CrossRefGoogle ScholarPubMed
Horwitz, RJ, Busse, WW. Inflammation and asthma. Clin Chest Med 1995;16:583–602.CrossRefGoogle ScholarPubMed
Lim, WJ, Akram, RM, Carson, KV, et al. Non-invasive positive pressure ventilation for treatment of respiratory failure due to severe acute exacerbations of asthma. Cochrane Database Syst Rev 2012;12:CD004360.Google ScholarPubMed
OECD and European Union. Health at a Glance: Europe 2016. State of Health in the EU Cycle. Paris: OECD Publishing; 2016. www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-europe-2016_9789264265592-enGoogle Scholar
Office for National Statistics. 2016. Asthma deaths in England and Wales, 2001 to 2015 occurrences. www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/adhocs/005955asthmadeathsinenglandandwales2001to2015occurrencesGoogle Scholar
Royal College of Physicians. 2015. Why asthma still kills. National Review of Asthma Deaths. www.rcplondon.ac.uk/projects/outputs/why-asthma-still-killsGoogle Scholar

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