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Dexamethasone vs Prednisone in Pediatric Asthma

Is there any difference in using dexamethasone vs prednisone/prednisolone to treat hospitalized children with asthma?  
medscape.com
about 4 years ago
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What is the evidence for benefit from leukotriene receptor antagonists in pre-school children who wheeze when they have a cold? | Cochrane

Acute episodes of wheezing in pre-school aged children are common. Many children in this age group seem to wheeze only when they have a common cold-type virus with no ongoing symptoms between episodes, unlike older children with allergic-type asthma. Acute episodes of wheezing cause the child to breathe more quickly than normal and they may require supportive treatment such as the use of rescue inhalers; in moderate or severe episodes they may also need a short course of oral steroids and not uncommonly may require treatment in hospital and supplemental oxygen. Their carers may need to take time off work to look after children who are unwell. Although episodic wheezing with viruses is a common problem, there is controversy about the best way to prevent or shorten episodes.  
cochrane.org
about 4 years ago
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Core EM: Life-Threatening Asthma - emdocs

A great post by Core EM - Bringing core EM content to anyone, anywhere, anytime. Learn the simplified and point-to-point review of life-threatening asthma by Dr. Anand Swaminathan, MD (@EMSwami)  
emdocs.net
about 4 years ago
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Early Respiratory Infections and the Development of Asthma

Could preventing respiratory infections in childhood reduce the development of asthma in children and young adults?  
medscape.com
about 4 years ago
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DFTB in EMA #3 – Easing the Wheeze – Don't Forget the Bubbles

Wheezing children commonly present to the ED. Bronchiolitis, preschool wheeze and asthma are common causes of such presentations. It is important to note that the term ‘wheeze’ is frequently misused by parents to describe a number of respiratory noises, including transmitted upper airway sounds and stridor.[1] Wheeze is, in itself, a symptom manifested by ‘a continuous whistling sound during breathing that suggests narrowing or obstruction in some part of the respiratory airways’.[2] One British study reported that 29.3% of children have had a wheeze by the age of three, and 30% of preschoolers with recurrent wheeze are diagnosed with asthma by 6 years of age.[3, 4] This article briefly reviews the diagnosis and management of preschool wheeze, while considering recent guidelines on bronchiolitis and asthma.  
dontforgetthebubbles.com
about 4 years ago
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Quality of Life Measure for Older Adolescents With Asthma

This quality of life instrument incorporates substance use, which is an important factor to consider when assessing HRQL in adolescents with asthma.  
medscape.com
about 4 years ago
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Persistence of Asthma Following Allergen Avoidance and ProTh2

Find out more about the molecular mechanisms underlying persistent abnormal dendritic cell function and asthma.  
medscape.com
about 4 years ago
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Exercise Improves Asthma Control, Study Suggests

Aerobic exercise could be an adjunct to pharmacotherapy in inactive adults with asthma, according to preliminary results from the Ex-Asthma study.  
medscape.com
about 4 years ago
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Pet dogs 'may help children avoid asthma' - BBC News

Young children who have a pet dog in the home are less likely to go on to develop asthma, a large Swedish study has found.  
bbc.co.uk
about 4 years ago
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Early Animal Exposure Decreases Childhood Asthma Risk

Exposure to dogs or farm animals early in life decreases the risk for childhood asthma, a new study has found.  
medscape.com
about 4 years ago
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Early contact with animals is linked to reduced asthma risk, study shows

Contact with dogs or farm animals during the first year of a child’s life is associated with reduced risk for childhood asthma, a study published in JAMA Pediatrics has shown.1  
feeds.bmj.com
about 4 years ago
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American College of Allergy, Asthma & Immunology (ACAAI) 2015 Annual Scientific Meeting

American College of Allergy, Asthma & Immunology (ACAAI) 2015 Annual Scientific Meeting: Read clinically focused news coverage of key developments from ACAAI 2015.  
medscape.com
about 4 years ago
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Medication Step-Down in Controlled Asthma Tied to Lower Cost, Similar Outcomes

Patients with controlled asthma who step down their medications have similar outcomes and lower costs than those who maintain treatment level, according to a new study.  
medscape.com
about 4 years ago
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FDA Approves Mepolizumab (Nucala) for Severe Asthma

The FDA has approved mepolizumab (Nucala, GlaxoSmithKline) in combination with other asthma medications for maintenance treatment of patients aged 12 years or older with severe asthma.  
medscape.com
about 4 years ago
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Update on asthma management – Don't Forget the Bubbles

The Royal Children’s Hospital in Melbourne have released an update on their asthma management. There are some great points here around the use of steroids and planning for discharge. Thanks to Mike Starr and RCH for allowing us to reproduce the update here…  
dontforgetthebubbles.com
about 4 years ago
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Mechanical Ventilation for Severe Asthma - emdocs

While the goal is often to prevent intubation, occasionally, the only option is to use Mechanical Ventilation for your patient with Severe Asthma.  
emdocs.net
about 4 years ago
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Mechanical Ventilation for Severe Asthma

Mechanical Ventilation for Severe Asthma Another tasty Ped EM Morsel via @PedEMMorsels… https://t.co/GKW61qniei pic.twitter.com/K8sTRS5xZE— emdocs team (@emdocsdotnet) November 6, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
about 4 years ago
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Emergency Visit for Asthma Predicts Future Acute Care

Children who have made at least one acute-care visit to the emergency department for asthma are at risk for future visits, and might benefit from specialist care, a new study suggests.  
medscape.com
about 4 years ago
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Asthma: No Clear Winners in Combination Treatment in Blacks

A randomized trial showed no benefit to long-acting beta-agonists over tiotropium in combination with inhaled corticosteroid for improving outcomes in black adults with asthma.  
medscape.com
about 4 years ago
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High Physical Activity Tied to Poor Asthma Control in Females

The link was not found in boys and young men. Findings suggested a need for extra attention in asthma treatment for highly active girls and young women.  
medscape.com
about 4 years ago