Abstract

Life-threatening exacerbation of bronchial asthma can occur in patients with any severity of the disease. The selection of predictors of a fatal condition can help to identify the groups with high-risk of asthmatic status development. For the moment the traditional intensive care for asthmatic status has been supplemented with innovative approaches in respiratory support, bronchodilator therapy, and basic support for the patients after life-threatening asthma. The predictors of life-threatening bronchial asthma include rhinovirus infection, severe exacerbation in the anamnesis, fungal sensitization and age of patients. This condition increases the risk of repeated life-threatening exacerbations by 25%, and it requires a special approach to therapy and monitoring of patients at the outpatient stage. This review draws attention to modern approaches to the treatment of such patients in order to unify the management of children with asthmatic status in the Russian Federation.

Highlights

  • Угрожающее жизни обострение бронхиальной астмы может возникнуть при любой тяжести заболевания

  • The selection of predictors of a fatal condition can help to identify the groups with high-risk of asthmatic status development

  • For the moment the traditional intensive care for asthmatic status has been supplemented with innovative approaches in respiratory support, bronchodilator therapy, and basic support for the patients after life-threatening asthma

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Summary

Introduction

Угрожающее жизни обострение бронхиальной астмы может возникнуть при любой тяжести заболевания. Несмотря на то что в целом смертность от астмы снижается, остается категория пациентов с риском развития угрожающих жизни состояний [4, 5]. Дефиниции угрожающих жизни состояний при бронхиальной астме

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