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Paediatric asthma

The British Thoracic Society Scottish Intercollegiate Guidelines Network. Paediatric asthma. Thorax 2003; 58 (Suppl I): i1-i92. Diagnosis of asthma in children. Thorax 2003; 58 (Suppl I): i1-i92. Diagnosis of asthma in children. Thorax 2003; 58 (Suppl I): i1-i92.

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Paediatric asthma

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  1. The British Thoracic Society Scottish Intercollegiate Guidelines Network Paediatric asthma Thorax 2003; 58 (Suppl I): i1-i92

  2. Diagnosis of asthma in children Thorax 2003; 58 (Suppl I): i1-i92

  3. Diagnosis of asthma in children Thorax 2003; 58 (Suppl I): i1-i92

  4. Clues to alternativediagnoses in wheezy children Thorax 2003; 58 (Suppl I): i1-i92

  5. Clues to alternativediagnoses in wheezy children Thorax 2003; 58 (Suppl I): i1-i92

  6. Clues to alternativediagnoses in wheezy children Thorax 2003; 58 (Suppl I): i1-i92

  7. Indications for referral ofchildren with suspected asthma • Diagnosis unclear or in doubt • Symptoms present from birth or perinatal lung problem • Excessive vomiting or posseting • Severe upper respiratory tract infection • Persistent wet cough • Family history of unusual chest disease • Failure to thrive • Unexpected clinical findings e.g. focal signs in the chest, abnormal voice or cry, dysphagia, inspiratory stridor • Failure to respond to conventional treatment(particularly inhaled corticosteroids above 400mcg/day or frequent use of steroid tablets) • Parental anxiety or need for reassurance Thorax 2003; 58 (Suppl I): i1-i92

  8. Stepwise management ofasthma in children aged 5-12 years Thorax 2003; 58 (Suppl I): i1-i92

  9. Stepwise management ofasthma in children aged 5-12 years Thorax 2003; 58 (Suppl I): i1-i92

  10. Stepwise management ofasthma in children aged 5-12 years Thorax 2003; 58 (Suppl I): i1-i92

  11. Stepwise management ofasthma in children aged 5-12 years Thorax 2003; 58 (Suppl I): i1-i92

  12. Stepwise management ofasthma in children aged 5-12 years Thorax 2003; 58 (Suppl I): i1-i92

  13. Stepwise management ofasthma in children aged 5-12 years Thorax 2003; 58 (Suppl I): i1-i92

  14. Stepwise management ofasthma in children under 5 years Thorax 2003; 58 (Suppl I): i1-i92

  15. Stepwise management ofasthma in children under 5 years Thorax 2003; 58 (Suppl I): i1-i92

  16. Stepwise management ofasthma in children under 5 years Thorax 2003; 58 (Suppl I): i1-i92

  17. Stepwise management ofasthma in children under 5 years Thorax 2003; 58 (Suppl I): i1-i92

  18. Stepwise management ofasthma in children under 5 years Thorax 2003; 58 (Suppl I): i1-i92

  19. Jessica Case discussion

  20. Step 2: Introduction of regular preventer therapy (practice points) Thorax 2003; 58 (Suppl I): i1-i92

  21. Initial assessment of acute asthma in children aged >2 years in general practice Thorax 2003; 58 (Suppl I): i1-i92

  22. Management of acute asthma inchildren aged >2 years in general practice Thorax 2003; 58 (Suppl I): i1-i92

  23. Response to treatment of acute asthma in children aged >2 years in general practice Thorax 2003; 58 (Suppl I): i1-i92

  24. Treatment of acute asthmain children aged >2 years *Dose can be repeated every 20-30 minutes Thorax 2003; 58 (Suppl I): i1-i92

  25. Steroid therapy for acuteasthma in children aged >2 years Thorax 2003; 58 (Suppl I): i1-i92

  26. Hospital admission for acuteasthma in children aged >2 years Thorax 2003; 58 (Suppl I): i1-i92

  27. Treatment of acute asthmain children aged <2 years Thorax 2003; 58 (Suppl I): i1-i92

  28. Overview: Paediatric asthma • Try to confirm diagnosis with objective tests before long-term therapy is started • Inhaled steroids are the recommended preventer drug • In children >5 years, add inhaled ß2 agonists rather than increasing the dose of inhaled steroids above 400mcg/day • pMDI + spacer is preferred delivery method in children aged0-5 years, and as effective as other delivery methods for other age groups • Assess and act promptly in acute asthma – admit patients with any feature of a life threatening or near fatal attack, or severe attack persisting after initial treatment Thorax 2003; 58 (Suppl I): i1-i92

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