Table of Contents Author Guidelines Submit a Manuscript
Canadian Respiratory Journal
Volume 8, Suppl A, Pages 5A-27A
http://dx.doi.org/10.1155/2001/278435
Asthma Guidelines Update – 2001

What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?

Louis-Philippe Boulet,1 Tony R Bai,2 Allan Becker,3 Denis Bérubé,4 Robert Beveridge,5 Dennis M Bowie,6 Kenneth R Chapman,7 Johanne Côté,1 Donald Cockcroft,8 Francine M Ducharme,4 Pierre Ernst,4 J Mark FitzGerald,2 Thomas Kovesi,9 Richard V Hodder,9 Paul O’Byrne,10 Brian Rowe,3 Malcolm R Sears,10 F Estelle R Simons,3 and Sheldon Spier11

1Sainte-Foy, Québec, Canada
2Vancouver, British Columbia, Canada
3Winnipeg, Manitoba, Canada
4Montréal, Québec, Canada
5Saint-John, New Brunswick, Canada
6Halifax, Nova Scotia, Canada
7Toronto, Ontario, Canada
8Saskatoon, Saskatchewan, Canada
9Ottawa, Ontario, Canada
10Hamilton, Ontario, Canada
11Calgary, Alberta, Canada

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The objective of the present document is to review the impact of new information on the recommendations made in the last (1999) Canadian Asthma Consensus Guidelines. It includes relevant published studies and observations or comments regarding what are considered to be the main issues in asthma management in children and adults in office, emergency department, hospital and clinical settings. Asthma is still insufficiently controlled in a large number of patients, and practice guidelines need to be integrated better with current care. This report re-emphasises the need for the following: objective measures of airflow obstruction to confirm the diagnosis of asthma suggested by the clinical evaluation; identification of contributing factors; and the establishment of a treatment plan to rapidly obtain and maintain optimal asthma control according to specific criteria. Recent publications support the essential role of asthma education and environmental control in asthma management. They further support the role of inhaled corticosteroids as the mainstay of anti-inflammatory therapy of asthma, and of both long acting beta2-agonists and leukotriene antagonists as effective means to improve asthma control when inhaled corticosteroids are insufficient. New developments, such as combination therapy, and recent major trials, such as the Children’s Asthma Management Project (CAMP) study, are discussed.