oa Current Allergy & Clinical Immunology - Treatment of acute asthma in children : review article

Volume 24, Issue 1
  • ISSN : 1609-3607



Despite advances in the understanding and management of asthma, children continue to present to health care institutions with acute asthma exacerbations. An accurate assessment of the severity of the acute attack is essential to ensure optimal treatment. The cornerstones of acute asthma treatment remain inhaled short-acting β-agonists (SABA), oral corticosteroids, and oxygen. The inhaled therapy may be administered by means of an oxygen- or air-driven nebuliser, but the pressurised metereddose inhaler-spacer combination is preferable under certain circumstances. Inhaled ipratropium bromide should be added to the nebulised SABA in the event of a poor response to treatment. Other therapeutic options for non-responders are intravenous magnesium sulphate and intravenous salbutamol.

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