The Emergency Visit and Management of Asthma
Authors: Charles E. Reed
Journal: Annals of Internal Medicine (1990)

Editorials1 June 1990The Emergency Visit and Management of AsthmaCharles E. Reed, MD, Loren W. Hunt, MDCharles E. Reed, MD, Loren W. Hunt, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-112-11-801 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA physician advising a patient about management of asthma, whether in the hospital, emergency room, outpatient clinic, or office, must have clear goals in aiming to achieve a particular outcome. Advice about a reasonable outcome and the means to achieve it must be based on an accurate understanding of the pathophysiologic abnormalities to be reversed. The past decade has seen a revolutionary change in our understanding of asthma. No longer is it considered "bronchospasm" or "hyperactive airway disease." These physiologic phenomena are now recognized as merely symptoms of a unique kind of bronchitis characterized by desquamation of the respiratory epithelium;...References1. Middleton E, ed. Allergy: Principles and Practice. 3rd ed. St. Louis: C. V. Mosby Company; 1988;969-98. Google Scholar2. LaitinenHeinoLaitinenKavaHaahtela LMATT. Damage of the airway epithelium and bronchial reactivity in patients with asthma. Am Rev Respir Dis. 1985;131:599-606. CrossrefMedlineGoogle Scholar3. BeasleyRocheRobertsHolgate RWJS. Cellular events in the bronchi in mild asthma and after bronchial provocation. Am Rev Respir Dis. 1989;139:806-17. CrossrefMedlineGoogle Scholar4. Morris H. Mechanisms of action and therapeutic role of corticosteroids in asthma. J Allergy Clin Immunol. 1985;75:1-13. CrossrefMedlineGoogle Scholar5. Clark T. Inhaled corticosteroid therapy: a substitute for theophylline as well as prednisolone? J Allergy Clin Immunol. 1985;76:330-4. CrossrefMedlineGoogle Scholar6. MorildGiertsen IJ. Sudden death from asthma. Forensic Sci Int. 1989;42:145-50. CrossrefMedlineGoogle Scholar7. Sly R. Effects of treatment on mortality from asthma. Ann Allergy. 1986;56:207-12. MedlineGoogle Scholar8. MayoRichmanHarris PJH. Results of a program to reduce admissions for adult asthma. Ann Intern Med. 1990;112:864-71. LinkGoogle Scholar9. Hindi-Alexander M. Asthma education programs: their role in asthma morbidity and mortality. J Allergy Clin Immunol. 1987;80:492-4. CrossrefMedlineGoogle Scholar10. StrunkMrazekFuhrmannLaBrecque RDGJ. Physiologic and psychological characteristics associated with deaths due to asthma in childhood. JAMA. 1985;254:1193-8. CrossrefMedlineGoogle Scholar11. SteinCole LR. Early administration of corticosteroids in emergency room treatment of acute asthma. Ann Intern Med. 1990;112:822-7. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Charles E. Reed, MD; Loren W. Hunt, MDAffiliations: Mayo Clinic Rochester, MN 55905 Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySpecialized Centers for Heart Failure ManagementCorticosteroids in Pediatric AsthmaKortikoidtherapieEmergency Department Asthma Treatment Protocol 1 June 1990Volume 112, Issue 11Page: 801-802KeywordsAsthmaBronchitisDesquamationEmergency departmentEpitheliumOutpatient clinics ePublished: 1 December 2008 Issue Published: 1 June 1990 PDF downloadLoading ...