Management of acute asthma exacerbations

Erin K. Stenson, Michael J. Tchou, Derek S. Wheeler*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Purpose of review Herein, we review the current guidelines for the management of children with an acute asthma exacerbation. We focus on management in the emergency department, inpatient, and ICU settings. Recent findings The most recent statistics show that the prevalence of asthma during childhood has decreased in certain demographic subgroups and plateaued in other subgroups. However, acute asthma accounts for significant healthcare expenditures. Although there are few, if any, newer therapeutic agents available for management of acute asthma exacerbations, several reports leveraging quality improvement science have shown significant reductions in costs of care as well as improvements in outcome. Summary Asthma is one of the most common chronic conditions in children and the most common reason that children are admitted to the hospital. Nevertheless, the evidence to support specific agents in the management of acute asthma exacerbations is surprisingly limited. The management of acute exacerbations focuses on reversal of bronchospasm, correction of hypoxia, and prevention of relapse and recurrence. Second-tier and third-tier agents are infrequently used outside of the ICU setting. Reducing the variation in treatment is likely to lead to lower costs and better outcomes.

Original languageEnglish (US)
Pages (from-to)305-310
Number of pages6
JournalCurrent opinion in pediatrics
Issue number3
StatePublished - Jun 1 2017


  • ICU
  • acute asthma
  • inpatient
  • quality improvement
  • status asthmaticus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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