Sina Guidelines - Annals of Thoracic Medicine PDF
Preview Sina Guidelines - Annals of Thoracic Medicine
www.sinagroup.org The Saudi Initiative for Asthma : Guidelines for the diagnosis and management of asthma in adults and children ـه 1434 ردص�لا ةحارجو بطل ةيدوعص�لا ةيعملجا ج رص�نلا ءانثأا ةينطولا دهف كللما ةبتكم ةص�رهف ردص�لا ةحارجو بطل ةيدوعص�لا ةيعملجا ةحارجو بطل ةيدوعص�لا ةيعملجا - .وبرلا ىص�رلم يدوعص�لا ليلدلا ـه1431 ، ض�ايرلا - ردص�لا مص� 24؛ مص�17 ؛ض� 60 978-603-00-4379-8 :كمدر ناونعلا .أا ض�يخص�ت - وبرلا -2 جلاع - وبرلا -1 1431/1426 616.23 يويد 1431 / 1426 :عاديإلا مقر 978-603-00-4379-8 :كمدر All rights are reserved to the Saudi Thorasic Society. It is not allowed to reproduce this document or part of it without C an official permission from this society www.sinagroup.org 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 www.sinagroup.org 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 www.sinagroup.org 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. 5 www.sinagroup.org 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 www.sinagroup.org 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 www.sinagroup.org
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