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Updates on the management of difficult asthma in school-aged children

Published on September 29, 2022   50 min

A selection of talks on Clinical Practice

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0:00
Thank you very much for coming online to listen to this update on the management of difficult asthma in school-aged children. My name's Andrew Bush. I'm a Professor of Paediatrics at Imperial College and the Royal Brompton Hospital.
0:15
I have no personal or institutional conflict of interest with regard to this presentation.
0:22
The first part of this talk, what is 'asthma'? How do we define asthma? What are we talking about here?
0:30
This is the Lancet Commission, which I had the honour of co-chairing with Ian Pavord. One of the things that we wanted to do in this commission was revolutionise airway disease and deliver precision medicine. What does that look like in the context of asthma?
0:48
What is this thing called asthma? Is it airway inflammation? Is it variable airflow obstruction? Is it bronchial hyper-responsiveness? A doctor said so? I was once given an inhaler? Or what is it? Now, like the best children's games, every answer is correct. All these definitions are used. But our contention is that asthma is an umbrella term for wheeze, dyspnoea, chest-tightness, possibly with extra cough. It's an umbrella term. Just as anaemia is an umbrella term for low haemoglobin, and arthritis is an umbrella term for hot red painful joints. 'Asthma' is the start, not the finish of the diagnostic journey. If you say to the child, "You have asthma," questions should come back. What sort of asthma Is it?
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Updates on the management of difficult asthma in school-aged children

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