Asthma Management in Children | Paediatrics Video Educatio

Asthma Management in Children | Paediatrics Video Education | V-Learning | sqadia.com

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Prime focus of this sqadia120 is to explain the Asthma Management in children. Asthma pathophysiology and Pediatric Asthma guidelines are provided in this clip.

Asthma has increased in prevalence over recent years and now affects 10–20% of children. It is a chronic disease characterized by reversible airflow obstruction, particularly in the bronchi, with recurrent bouts of wheezing and breathlessness.

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Asthma is recognized by clinical assessment. Severe asthma without life-threatening features should be treated with high-flow oxygen, nebulised salbutamol and ipratropium bromide, and oral corticosteroids.

If life-threatening features are present, senior help and an experienced anaesthetist should be summoned. In the meantime, the airway should be maintained, oxygen should be administered by a rebreathing mask and IV access secured for administration of corticosteroids and bronchodilators.

A chest radiograph should be obtained after initial stabilization in any child with features of severe or life-threatening asthma, with a first episode of wheeze.

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The patient should be pre-oxygenated and 10–20 ml/kg colloid given electively. Patients with acute severe asthma are often volume depleted and vasodilated. Ketamine is a useful induction agent.

Pharmacotherapy of asthma tells us the Key in the management are generous humidification and physiotherapy to mobilize secretions and mucus plugs. Drug treatment may include continued neuromuscular blocking agents, ketamine by continuous infusion (for both sedative and bronchodilator effect), IV bronchodilators, corticosteroids and antibiotics. Ms. Sumbal Mukhtar also explained the Asthma Pharmacology in detail in her lecture on Drugs used for asthma.

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