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Episode 104: A high dose of acute asthma therapeutics

In episode 104, Mike and James blow out a lot of hot air about the use of medications for acute asthma and they come to the quick realization that the concepts they have been evangelising for the past 2 years (low dose and shared-informed decision making) have no role in acute asthma. James, in an act of defiance gets a cat to sit on top of Mike’s head until becomes acutely short of breath and then gives Mike a 1/4 puff of salbutamol. Shockingly, the outcome was less than optimal.

Show notes

1) Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma

Cochrane review

2) Continuous versus intermittent beta-agonists for acute asthma

Cochrane review

3) Combined inhaled anticholinergics and beta2-agonists for initial treatment of acute asthma in children

Cochrane review

4) Early emergency department treatment of acute asthma with systemic corticosteroids

Cochrane review

5) Magnesium for acute asthma

Cochrane review

6) Aminophylline for acute asthma

Cochrane review

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