Aug 15, 2011 Issue
Exercise-Induced Bronchoconstriction: Diagnosis and Management [Article]

Exercise-induced bronchoconstriction describes the narrowing of the airway that occurs with exercise. More than 10 percent of the general population and up to 90 percent of persons previously diagnosed with asthma have exercise-induced bronchoconstriction. Common symptoms include coughing, wheezing,...

Jul 1, 2011 Issue
Management of Acute Asthma Exacerbations [Article]

Asthma exacerbations can be classified as mild, moderate, severe, or life threatening. Criteria for exacerbation severity are based on symptoms and physical examination parameters, as well as lung function and oxygen saturation. In patients with a peak expiratory flow of 50 to 79 percent of their pe...

Jan 15, 2011 Issue
Respiratory Syncytial Virus Infection in Children [Article]

Respiratory syncytial virus (RSV) is an RNA virus that causes respiratory tract infections in children. In the North- ern Hemisphere, the peak infection season is November through April. By two years of age, most children will have had an RSV infection. Bronchiolitis, a lower respiratory tract infec...

Nov 15, 2010 Issue
Medical Therapy for Asthma: Updates from the NAEPP Guidelines [Article]

Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of care for persi...

Mar 1, 2010 Issue
Addition of Long-Acting Beta Agonists for Asthma in Children [Cochrane for Clinicians]

In children with persistent asthma who are already taking inhaled corticosteroids, the addition of a LABA does not lower the rate of exacerbations requiring oral steroids, rescue medication, or hospitalizations, but it improves measurable lung function.

Jun 1, 2009 Issue
Should Salmeterol Be Used for Long-Term Asthma Control? [Cochrane for Clinicians]

Salmeterol may help improve asthma symptoms, but it should only be used as part of a comprehensive asthma management plan including inhaled corticosteroids and a short-acting beta agonist. There is currently insufficient evidence to confirm that salmeterol does not increase the risk of adverse event...

May 1, 2009 Issue
The New Asthma Guidelines [Editorials]

May 1, 2009 Issue
Overview of Changes to Asthma Guidelines: Diagnosis and Screening [Article]

The Expert Panel Report 3 of the National Asthma Education and Prevention Program represents a major advance in the approach to asthma care by emphasizing the monitoring of clinically relevant aspects of care and the importance of planned primary care, and by providing patients practical tools for s...

Jul 1, 2008 Issue
Inhaled Steroid Use and Asthma Control in Patients with Mild Persistent Asthma [AFP Journal Club]

Can patients with mild persistent asthma safely decrease or eliminate inhaled steroids? The results of these studies may not be generalizable to the average primary care patient. Patients should be appropriately classified and treated using 2007 National Asthma Education and Prevention Program guidelines.

May 1, 2008 Issue
Albuterol vs. Levalbuterol for Asthma Treatment in Children [AFP Journal Club]

For children with acute asthma exacerbations, is levalbuterol better than albuterol? There is no difference between the medications in effectiveness or side effects.

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