The Chinese experts'consensus on the evaluation and management of asthma exacerbation

VernacularTitle:支气管哮喘急性发作评估及处理中国专家共识
Author: Alliance Asthma CHINA
Keywords: Asthma; Exacerbation; Consensus
From: Chinese Journal of Internal Medicine 2018;57(1):4-14
CountryChina
Language:Chinese
Abstract: Asthma exacerbations can do a lot of harm to the patients and consume large amounts of medical resources. This consensus is based on the domestic and foreign guidelines and literatures to standardize the evaluation and management of asthma exacerbations in China. Asthma exacerbations are characterized by a progressive increase in symptoms of shortness of breath, cough, wheezing or chest tightness and progressive decrease in lung function,and usually require modification of treatment.Recognizing risk factors and triggering factors of asthma exacerbations is helpful for the prevention and long-term management. Evaluation of asthma exacerbations is based on symptoms, lung function, and arterial blood gas. Management is stratified according to the severity of disease. Different regimens to treat asthma exacerbations are discussed in this consensus. Glucocorticoids should be used properly. Overuse of antibiotics should be avoided. Management of life-threatening asthma is discussed separately. Special attention should be paid in some special respects, such as asthma during peri-operation period, gestation period, and childhood. Diagnosis and management of complications are also of great significance and are discussed in details.