Management of severe asthma exacerbation: guidelines from the Société Française de Médecine d’Urgence, the Société de Réanimation de Langue Française and the French Group for Pediatric Intensive Care and Emergencies

Author:

Le Conte Philippe,Terzi Nicolas,Mortamet Guillaume,Abroug Fekri,Carteaux Guillaume,Charasse Céline,Chauvin Anthony,Combes Xavier,Dauger Stéphane,Demoule Alexandre,Desmettre Thibaut,Ehrmann Stephan,Gaillard-Le Roux Bénédicte,Hamel Valérie,Jung Boris,Kepka Sabrina,L’Her Erwan,Martinez Mikaël,Milési Christophe,Morawiec Élise,Oberlin Mathieu,Plaisance Patrick,Pouyau Robin,Raherison Chantal,Ray Patrick,Schmidt Mathieu,Thille Arnaud W.,Truchot Jennifer,Valdenaire Guillaume,Vaux Julien,Viglino Damien,Voiriot Guillaume,Vrignaud Bénédicte,Jean Sandrine,Mariotte Eric,Claret Pierre-Géraud

Abstract

Abstract Background The French Emergency Medicine Society, the French Intensive Care Society and the Pediatric Intensive Care and Emergency Medicine French-Speaking Group edited guidelines on severe asthma exacerbation (SAE) in adult and pediatric patients. Results The guidelines were related to 5 areas: diagnosis, pharmacological treatment, oxygen therapy and ventilation, patients triage, specific considerations regarding pregnant women. The literature analysis and formulation of the guidelines were conducted according to the Grade of Recommendation Assessment, Development and Evaluation methodology. An extensive literature research was conducted based on publications indexed in PubMed™ and Cochrane™ databases. Of the 21 formalized guidelines, 4 had a high level of evidence (GRADE 1+/−) and 7 a low level of evidence (GRADE 2+/−). The GRADE method was inapplicable to 10 guidelines, which resulted in expert opinions. A strong agreement was reached for all guidelines. Conclusion The conjunct work of 36 experts from 3 scientific societies resulted in 21 formalized recommendations to help improving the emergency and intensive care management of adult and pediatric patients with SAE.

Funder

Société de Réanimation de Langue Française

Société Française de Médecine d'Urgence

Publisher

Springer Science and Business Media LLC

Subject

Critical Care and Intensive Care Medicine

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