Budesonide is available in 200, 100 mcg and 50 mcg strength in pMDI, Nebulised budesonide of strength 500 mcg can be given in children 1 year and above
One thing which is perplexing to me is, once a patient presents with intermittent symptoms and is on a controller, we perform a spirometry on them; if the FEV1 is near normal and reversibility is not upto the appreciated level, GINA is asking to step down for 1 month and reassess. Once he gets bad, what is the point of again stepping it up just for the sole point of getting a diagnosis? Wouldn’t it be bad from the patients perspective?
Excellent. Kindly elaborate on the role of other oral agents like theophylline and its derivatives. Any statement on desensitisation and need to test. Anything specific in those with associated allergic rhinitis. Immunologic agents in asthma. Which agent for whom?
Hi Dr Periwal.The guideline statement has specific mentions about the use of theophyllines, leukotriene antagonist etc that they are not to be prescribed routinely and have found to have no significant benefit in trials. Regarding allergic desensitisation, HDM slit has been retained as other controller option with less evidence. Immunologics is a separate discussion...i would try and make a video on it. Happy Reading!!
I had severe asthma and completely recovered from it after continuing with a natural prescription and abandoning all medications and inhalers five years ago.
Can you please tell when to proceed from step 1 to 2 or 3 ? How to treat with doses or an example of an adult who had an exacerbation Your class was very informative thank you
Hi !! so main differences are the emphasis on demonstration of variable airflow obstruction, changes in track 1 and 2 options and addition of new biologics.see the video for detailed changes !! happy reading !
Thank you very much for this, doctor.
A Very useful channel for pulmonologists. A very nice initiative.
Kindly present latest read aloud of GINA 2023
Thank you for the excellent summary and explanation. Very clear presentation style. Looking forward to more videos like this
Your summer is really excellent. usually I find it difficult to go through the whole guide line. You have made it simpler and easy to follow
plz continue uploading, mam. ur explanation is stunning to me.
Thank you ma’am. You explained key points in short time.
Thank you.. very clear and concise. Looking forward for more videos !
Excellent effort 👍
Thanks a lot. Excellent summary which is greatly helpful in understanding the changes in guideline.
Thank you, we are waiting your videos daily
Sorry for the wait !! Next video is coming up soon
Excellent summary.
Amazing thank you esp the part of apprach to diagnose is superb
Very helpful, thank you
Thank u mam very well explained ,kindly upload mdr tb lecture.
Sure .. will do that next👍🏼
Hey mam can u make telegram page of pulmonary and monthly zoom discussion.plz think about this
Thanku mam
Hello thanks for the presentation.
How do we taper the dose of inhaled budesonide in children 5 years and younger?
Budesonide is available in 200, 100 mcg and 50 mcg strength in pMDI, Nebulised budesonide of strength 500 mcg can be given in children 1 year and above
Thanks from Bangladesh..
One thing which is perplexing to me is, once a patient presents with intermittent symptoms and is on a controller, we perform a spirometry on them; if the FEV1 is near normal and reversibility is not upto the appreciated level, GINA is asking to step down for 1 month and reassess. Once he gets bad, what is the point of again stepping it up just for the sole point of getting a diagnosis? Wouldn’t it be bad from the patients perspective?
How to Use MART therapy as reliever in acute flare up in a 11year old child who is already on MART maintainance therapy?
Video on biologics plz
Thank you for explanation.Can you give ICS and other LABA combination,(not formoterol) if ICS -Formoterol not available?
Yes we can do that
Excellent.
Kindly elaborate on the role of other oral agents like theophylline and its derivatives.
Any statement on desensitisation and need to test.
Anything specific in those with associated allergic rhinitis.
Immunologic agents in asthma. Which agent for whom?
Hi Dr Periwal.The guideline statement has specific mentions about the use of theophyllines, leukotriene antagonist etc that they are not to be prescribed routinely and have found to have no significant benefit in trials.
Regarding allergic desensitisation, HDM slit has been retained as other controller option with less evidence.
Immunologics is a separate discussion...i would try and make a video on it.
Happy Reading!!
Any role of oral terbutaline syp
Can be prescribe it for short term or not
No role … off label availability… side effect profile high… tachycardia noted
@@pulmonologyreadaloud in adults also
Mam, could you please make video on difficult to treat asthma
The ultimate natural treatment for asthma exists, has been tested, and is 100% successful
Please make sever asthma guidlines maam
I had severe asthma and completely recovered from it after continuing with a natural prescription and abandoning all medications and inhalers five years ago.
Can you please tell when to proceed from step 1 to 2 or 3 ? How to treat with doses or an example of an adult who had an exacerbation
Your class was very informative thank you
also on difficult to treat asthma
Yes .. will do that soon
The ultimate treatment for asthma is found in every home, and it is in food. This is based on personal experience
Hi maam what is the main change between 2021 gina and 2022 gina
Hi !! so main differences are the emphasis on demonstration of variable airflow obstruction, changes in track 1 and 2 options and addition of new biologics.see the video for detailed changes !! happy reading !
🤪 ƤＲＯ𝓂Ｏ𝕤ᗰ