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0:00
Welcome to the Institute
for Heart and Lung Health
at the University of
British Columbia.
This presentation will focus
on the management
of chronic asthma.
My name is Mark FitzGerald.
I'm a Professor of
Respiratory Medicine
at the University of
British Columbia.
0:16
Before I begin,
I'd like to indicate to
you that I have conflicts
of interest with the
companies and agencies
listed on the current slide.
0:26
The objectives for the
presentation today are:
to define the current
guideline-based asthma management,
understand the consequences
of poor asthma control
and future risk,
and prevent these consequences
through improved disease control.
These objectives will be
achieved by showing you
how to employ
individualized strategies
and treatment options to enhance
patient adherence to therapy
and achieve better
asthma control.
0:53
Asthma guidelines have
provided a framework for us
in which we can manage asthma.
In this editorial,
published in The Lancet
in September 2010,
we outlined the
benefits of having
a clear evidence-based strategy
for the management of asthma.
1:10
In this slide, we see
a number of control
criteria outlined.
On the left-hand side,
we can see these criteria
focusing on daytime symptoms,
limitations of activities,
nocturnal symptoms
and awakening,
need for rescue medication,
and lung function and as
well as exacerbation.
We can see that
patients' asthma control
can be divided into a number of
different levels of control.
Controlled asthma, partly
controlled asthma,
when any of these features are
present in a previous week,
and then uncontrolled asthma,
where three or more features
of partly controlled asthma
are present in any one week.
We can see here that although
we aim for controlled asthma,
in many cases, we can only
achieve partly
controlled asthma.
In this animation of the
asthma management continuum,
