Medicina, Vol. 60 No. 4, 2024.
Pregledni rad
https://doi.org/10.21860/medflum2024_321523
Guidelines for the Management of Asthma Exacerbations in the Emergency Medicine
Dragana Bekić
; Klinički bolnički centar Osijek, Objedinjeni hitni bolnički prijam, Osijek, Hrvatska
*
Ana Posavi
; Klinički bolnički centar Osijek, Zavod za pulmologiju i intenzivno liječenje internističkih pacijenata, Osijek, Hrvatska; Sveučilište Josipa Jurja Strossmayera, Medicinski fakultet Osijek, Osijek, Hrvatska
Damir Mihić
; Klinički bolnički centar Osijek, Zavod za pulmologiju i intenzivno liječenje internističkih pacijenata, Osijek, Hrvatska; Sveučilište Josipa Jurja Strossmayera, Medicinski fakultet Osijek, Osijek, Hrvatska; Sveučilište Josipa Jurja Strossmayera, Fakultet za dentalnu medicinu i zdravstvo, Osijek, Hrvatska
Željka Dragila
; Klinički bolnički centar Osijek, Objedinjeni hitni bolnički prijam, Osijek, Hrvatska; Sveučilište Josipa Jurja Strossmayera, Medicinski fakultet Osijek, Osijek, Hrvatska
Anita Božičević Vadlja
; Klinički bolnički centar Osijek, Objedinjeni hitni bolnički prijam, Osijek, Hrvatska
Gordana Pavliša
; Klinički bolnički centar Zagreb, Klinika za plućne bolesti Jordanovac, Zagreb, Hrvatska; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Ljiljana Bulat Kardum
; Klinički bolnički centar Rijeka, Klinika za unutarnje bolesti, Zavod za pulmologiju, Rijeka, Hrvatska; Sveučilište u Rijeci, Fakultet zdravstvenih studija, Rijeka, Hrvatska
Andrea Vukić Dugac
; Klinički bolnički centar Zagreb, Klinika za plućne bolesti Jordanovac, Zagreb, Hrvatska; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Miroslav Samaržija
; Sveučilište Josipa Jurja Strossmayera, Fakultet za dentalnu medicinu i zdravstvo, Osijek, Hrvatska; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Neven Miculinić
; Klinički bolnički centar Zagreb, Klinika za plućne bolesti Jordanovac, Zagreb, Hrvatska
Sanda Škrinjarić Cincar
; Sveučilište Josipa Jurja Strossmayera, Medicinski fakultet Osijek, Osijek, Hrvatska; Dom zdravlja Osječko-baranjske županije, Osijek, Hrvatska
* Dopisni autor.
Sažetak
Severe exacerbations of asthma are rare today thanks to the use of inhaled corticosteroids, which have enabled good control of this disease. However, asthma control in many asthmatics is not satisfactory, and deaths due to acute exacerbations that should have been prevented by appropriate treatment are recorded worldwide. In order to achieve good asthma control and prevent a severe and life-threatening exacerbation, it is recommended to use the Personal Asthma Action Plan described in the Croatian guidelines for the treatment of asthma in 2023. According to the personal treatment plan, patients assess the degree of control of their asthma themselves, and in the event of loss of control, they have written precise instructions on self-help measures, i.e. on the need to contact a doctor or emergency services. Mild and moderate exacerbation of asthma can be successfully treated in outpatient facilities with the symptomatic use of bronchodilators, “relievers” with mandatory strengthening of the basic anti-inflammatory treatment (inhaled corticosteroids) with or without the introduction of oral corticosteroids. Severe and life-threatening asthma exacerbations are treated in the hospital emergency department where the need for hospitalization in a hospital ward or intensive care unit is assessed. Exacerbations of asthma are an indicator of the risk of bad outcomes of the disease, and therefore it is necessary to record them, and to adjust further treatment in order to prevent them in the future.
Ključne riječi
asthma; emergency medicine; guideline; therapeutics
Hrčak ID:
321523
URI
Datum izdavanja:
1.12.2024.
Posjeta: 0 *