Asthma Management Guidelines 2020 Focused Update: What’s In It For You?
* The National Institutes of Health, National Heart, Lung, and Blood Institute coordinated this update
* Recommendations were published on December 1, 2020.
* It Focuses on six areas:
….Fractional Exhaled Nitric Oxide Testing
….Indoor Allergen Mitigation
….Intermittent Inhaled Corticosteroids
….Immunotherapy in the Treatment of Allergic Asthma
* Only four of these six areas have immediate implications for asthma disease management in primary care.
* I’ll review the recommendations briefly here.
- These guidelines are not as wide-ranging as those developed and released in 2007.
- The new recommendations are based on reviews of the scientific literature and the use of the GRADE methodology for assigning a level of certainty (Low, Moderate, or High) for each recommendation.
- Of the six areas, only numbers 2, 3, 5, & 6 have practical implications for primary asthma care.
- The full guidelines: 2020 Focused Updates to the Asthma Management Guidelines:…
- I have put together a quick-read summary of the recommendations. I have only included recommendations that have moderate or high certainty of benefit for patients.
Indoor Allergens: Pillow covers and mattress bags to seal in allergens are recommended if you have symptoms. (Moderate Certainty)
Allergy Shots: SCIT (Subcutaneous Immunotherapy) is recommended for adults and children (>5 yr) with mild to moderate allergic asthma as long as they have lab or skin testing data to support the allergy. (Moderate Certainty).
Wheezing in Kids: Children from ages 0-4 yr with recurrent wheezing (3 x /year), triggered by colds and URI’s should have a short course (7-10 days) of inhaled corticosteroid at the onset of a new wheezing episode. (High Certainty).
In ages 4+ with moderate to severe-persistent asthma, a combination inhaler containing formoterol and steroid can be used as both a daily controller and as a rescue medicine. (Moderate to High Certainty).
In ages 12 + with mild persistent asthma, inhaled corticosteroids should be used daily, either along with rescue albuterol or in a combination inhaler that includes albuterol. (Moderate Certainty).
In age 12 + yr with uncontrolled, persistent asthma, Long Acting Muscarinic Antagonist (LAMA) medicine can be added to Inhaled Corticosteroid (ICS) for better control. (Moderate Certainty).
If you have questions about asthma management or want to update your asthma action plan and medication prescriptions, grab an appointment and let’s talk!
Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.
to get Asthma Updates!
Grow your asthma knowledge by getting these blog updates in your email!
- How Can Asthmaniac Address Your Asthma Concerns?
- High-Deductible Health Plan? Online Asthma Is Perfect!
- No Insurance? Asthmaniac Will Help You!
- Is Your Asthma e-Asthma? New Medicine!
- Asthma Follow Up Care: Why You Need It!
- NEVER run Out of Asthma Inhaler Medicine!
- Asthmaniac Uses ePrescriptions for Your Medicine!
- Asthma Management Guidelines 2020 Focused Update: What’s In It For You?
- Asthma Rescue Inhalers Are Crucial in Asthma Control!
- Do You Need an Asthma Controller Medication?
- What is an MDI Spacer and Why Do You Need One?
- Children and Asthma: Different from Adult Asthma?
- Asthma and COVID19: Breathing Easy during a Pandemic
- Peak Expiratory Flow Rate: How We Measure and Why?
- Asthma Action Plan: Personalized Just For You!
- Asthma Control Test Score: How We Use It
- Asthma Facts
- Asthma Attack Triggers: Keep a Lid On It!
- Phone Doctor Visits: They Work For Asthma Control!
- Steroids in Asthma: Why We Need Them?
Asthma challenges Patients Identify Asthma as a disease is not evenly spread across the U.S. There are definitely hotspots as shown in this study: https://www.aafa.org/asthma-capitals/ Geography doesn’t change the basic problem in the lungs. How do we find out the...
High Deductible? Asthmaniac Is Best Value! ✓ You have a Health Insurance Policy ✘ But, it has a high deductible 🙏 Asthmaniac was made for you! 💙 Affordable $50 doctor visits ✓ State-of-the-Art Asthma Care ✓ All online! High-Deductible...
No Insurance is Not a Problem at Asthmaniac! ⇨ Active asthma 🙏 Asthmaniac was made for you! 💙 Affordable $50 doctor visits ✓ State-of-the-Art Asthma Care 👍 All online! No Insurance = No Problem I mean it! I don’t care that you don’t have...
* e-Asthma is category of severe asthma * Patients with e-Asthma have difficulty getting asthma control with usual treatment * e-Asthma responds well to a new type of injected medicine * In such patients, this new medicine can decrease their asthma attacks...
* Follow-up Care is Essential to good asthma control. * Follow-up allows determination of asthma severity. * Other disorders that affect your breathing are detected early. * Rescue medication refills are provided * Your Asthma Action Plan is updated....
* Finding your inhaler empty when the tightness starts IS NOT A GOOD FEELING! ..You need your rescue inhaler ..When you need it! ..Without it, it is probably a trip to the ER and ..a few days of having messed up breathing. * Asthmaniac offers $50 doctor...