Sina Guidelines - Annals of Thoracic Medicine

90 Pages·2012·1.9 MB·English

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The Saudi Initiative for Asthma :
Guidelines for the diagnosis and management of
asthma in adults and children
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All rights are reserved to the Saudi Thorasic Society. It is not allowed to reproduce this document or part of it without
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an official permission from this society
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The Saudi Initiative for Asthma panel:
Chairman
Mohamed S. Al-Moamary
King Saud bin Abdulaziz University for Health Sciences and King Abdulaziz Medical City, Riyadh
Members
Mohamed S. Al-Hajjaj
King Khalid University Hospital, King Saud University, Riyadh
Sami A. Alhaider
King Faisal Specialist Hospital and Research Center, Riyadh
Mohammed O. Al-Ghobain
King Saud bin Abdulaziz University for Health Sciences and King Abdulaziz Medical City, Riyadh
Majdy M. Idrees
Riyadh Military Hospital, Riyadh
Mohammed O. Zeitouni
King Faisal Specialist Hospital and Research Center, Riyadh
Adel S. Al-Harbi
Riyadh Military Hospital, Riyadh
Maha M. Al Dabbagh
King Fahd Armed Forces Hospital, Jeddah
Hussain Al-Matar
Imam Abdulrahman Al Faisal Hospital, Dammam
Hassan S. Alorainy
King Faisal Specialist Hospital and Research Center, Riyadh
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Disclaimer: The guidelines for the diagnosis and management of asthma in adults and children developed
by the Saudi Initiative for Asthma group is not meant to replace clinical judgments of physicians but are only
tools to help the practicing doctors to manage asthma patients. Although a lot of effort was exerted to ensure
the accurate names and doses of medications, the authors encourage the readers to refer to the medications’
information for further clarification.
How to cite this article:
Al-Moamary MS, Alhaider SA, Al-Hajjaj MS, Al-Ghobain MO, Idrees MM, Zeitouni MO, Al-Harbi AS, Al Dabbagh
MM, Al-Matar H, Alorainy HS. The Saudi initiative for asthma - 2012 update: Guidelines for the diagnosis and
management of asthma in adults and children. Ann Thorac Med 2012;7:175-204
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Acknowledgments
The SINA panel would like to thank the following consultant reviewers for their valuable comments on
the 2012 update: Prof. Mark FitzGerald from the University of British Columbia, Vancouver, BC, Canada;
Prof. Qutayba Hamid from the Meakins-Christie Laboratories, and the Montreal Chest Research Institute,
Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada; and Prof. Sheldon Spier, the University
of British Columbia and Medical Director of the Children’s Hospital Asthma program, Vancouver, British
Columbia, Canada. The panel would also like to thank the following consultant reviewers for their valuable
comments for the initial guidelines developed in 2009: Prof. Eric Bateman from the University of Cape Town
Lung Institute, Cape Town, South Africa; Prof. Mark FitzGerald from the University of British Columbia,
Vancouver, BC, Canada; and Prof. Ronald Olivenstein from the Meakins-Christie Laboratories, and the
Montreal Chest Research Institute, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.
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Table of Contents Page
Editorial: The role of asthma guidelines in achieving current control and reducing future 9
risk by Mark J FitzGerald
13
The Saudi Initiative for Asthma
14
• Introduction
15
• Epidemiology
17
• Pathophysiology of Asthma
20
• Methods
21
• Diagnosis of Asthma
25
• Medications Used for the Treatment of Asthma
32
• Approach to Asthma Management in Adults
48
• Management of Acute Asthma in Adults
62
• Management of Asthma in Children
62
• Asthma diagnosis in children
65
• Strategy of asthma management in children
68
• Outpatient management of asthma in children
73
• Acute exacerbation management
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Page
• Special Situations in Asthma in Adults 81
• Cough-variant asthma
• Exercise-induced Asthma
• Aspirin-induced asthma
• GERD triggered asthma
• Asthma and Pregnancy
• Treating asthma in pregnancy
• Difficult to Treat Asthma 84
• References 85
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