Tag Archives: asthma

WHAT PATIENTS REALLY THINK ABOUT ASTHMA GUIDELINES

FCAAIA Notes:  The first national guidelines for the diagnosis and treatment of asthma were published in 1993, with updates and revisions more recently.  Guidelines are just that-they are not rules or laws.  But, they are evidence based recommendations to help … Continue reading

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PREDICTIVE FACTORS FOR MODERATE OR SEVERE EXACERBATIONS IN ASTHMA PATIENTS RECEIVING OUTPATIENT CARE

FCAAIA Notes: This study tells us that the best predictor of having a moderate or severe asthma exacerbation is a history of a previous such flare.  Incorrect inhaler technique was also predictive. Of course, correct inhaler technique is a subset … Continue reading

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ASTHMA DURING PREGNANCY: EXACERBATIONS, MANAGEMENT, AND HEALTH OUTCOMES FOR MOTHER AND INFANT

FCAAIA Notes: In pregnancy, about 1/3 of mothers with asthma get worse, 1/3 get better, and 1/3 remain the same.  The pattern tends to be the same from one pregnancy to the next.  The control often improves in the last … Continue reading

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IS THERE A ROLE FOR WEIGHT LOSS IN OBESE PATIENTS WITH ASTHMA?

FCAAIA Notes: Weight loss and good physical conditioning are so important in virtually every aspect of health that we should not just concentrate on asthma. It is pretty clear that obesity contributes to diminished respiratory status with more shortness of … Continue reading

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OBSTRUCTIVE SLEEP APNEA ACCELERATES FEV1 DECLINE IN ASTHMATIC PATIENTS

FCAAIA Notes: As I’ve written before, “The nose bone’s connected to the lung bone.”  Asthma is part of “allergic airway disease” and control of the lower airway (lungs) always requires that we consider the upper air way (nose) as well. … Continue reading

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CORTICOSTEROIDS AND ASTHMA: TOO MUCH OR TOO LITTLE?

FCAAIA Notes: Ah….the Goldilocks paradigm! Too little or too much? Of course, the answer is “just the right amount.” Oral corticosteroids (e.g., prednisone) are the treatment of choice for bad asthma exacerbations. 

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STRATEGIES TO ALTER THE NATURAL HISTORY OF CHILDHOOD ASTHMA

FCAAIA Notes: I guess one of the best ways to avoid having asthma is to choose the right parents, as asthma and other allergic disease are more common in children whose parents have allergies. Of course, as shown in this … Continue reading

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REVISITING THE SAFETY OF LABAS IN CHILDREN WITH SEVERE ASTHMA

FCAAIA Notes: Twenty years ago the SMART study suggested a risk of long-acting beta agonists (LABA) use, However, the rail was associated with the use of LABA alone and NOT with the concurrent use of inhaled corticosteroids (ICS). Study after … Continue reading

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EXERCISE GOOD FOR ASTHMA, COPD EVEN WITH POLLUTION EXPOSURE

FCAAIA Notes:  In elderly patients with asthma and COPD which is the lesser of two evils, high exposure to air pollution or not exercising? According to this study, exercise is the winner. It is important to make sure your disease … Continue reading

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AZITHROMYCIN FOR ACUTE EXACERBATIONS OF ASTHMA: THE AZALEA RCT

FCAAIA Notes: This is yet another study showing that the use of antibiotics without proof or high suspicion of a bacterial infection is unwarranted.  I could go even farther and say it is inappropriate, as overuse of antibiotics increases resistance … Continue reading

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