Respiration International Journal of Thoracic Medicine - Pneumology Immunology and Allergy - Karger Publishers
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99 | 04 | 20 Pneumology Immunology and Allergy Respiration International Journal of Thoracic Medicine EABIP
OFEV® (Nintedanib) WIRKT RISIKO LANGZEIT- EINFACH DATEN der jährlichen Risikoreduktion bei bestätigen die Einfache Einnahme Abnahme der adjudizierten*, akuten Resultate aus den 1 Kapsel Lungenfunktion Exazerbationen Zulassungsstudien 2x täglich1,2 (FVC -49%)1,2 bei (-68%)1,2 sowie und zeigen keine einem breiten on-treatment neuen sicherheits- Patientenspektrum3-5 Mortalität (-43%)6 relevanten Aspekte entgegen gepoolte Daten aus 3 Studien (n= 734, Median 44,7 (HR 0.57 [95% CI: 0.34, 0.97]; Monate, 11,9-68,3)7 p=0.0274) *) Bewertung durch ein unabhängiges Expertengremium 1.) OFEV® Fachinformation, www.swissmedicinfo.ch 2.) Richeldi L et al. Efficacy and Safety of Nintedanib in Idiopathic Pulmonary Fibrosis. NEJM 2014; 370:2071-2082 3.) Kolb M. et al. Nintedanib in patients with idiopathic pulmonary fibrosis and preserved lung volume. Thorax 2016; 0:1-7 4.) Raghu G et al. Effects of Nintedanib in Subgroups of Idiopathic Pulmonary Fibrosis by Diagnostic Criteria. Am J Respir Crit Care Med. 2017;195:78-85 5.) Cottin V et al.Therapeutic effects of nintedanib are not influenced by emphysema in the INPULSIS trials. ERS 2019 6.) Richeldi L et al. Nintedanib in patients with idiopathic pulmonary fibrosis: Combined evidence from the TOMORROW and INPULSIS® trials. Resp Med 113 (2016) 74-79 7.) Crestani B et al. Long-term safety and tolerability of nintedanib in patients with idiopathic pulmonary fibrosis: results from the open-label extension study INPULSIS-ON. Lancet Respir Med. 2018;doii:10.1016/S2213-2600(18)30339-4 Ofev®: Nintedanibesilat (Tyrosinkinaseinhibitor). I: Behandlung der idiopathischen Lungenfibrose (IPF) und Verlangsamung des Krankheitsverlaufes. D: Empfohlene Dosis: 150 mg 2x pro Tag im Abstand von etwa 12 Stunden. KI: Schwangerschaft, Überempfindlichkeit gegen Nintedanib oder einen der sonstigen Bestandteile, Erdnüsse, Soja. VM: Eingeschränkte Leberfunktion, Child-Pugh B,C: Anwendung nicht empfohlen. Child-Pugh A: Empfohlene Dosis 100 mg 2x pro Tag. Es wurden nicht-schwerwiegende und schwerwiegende (auch fatale) arzneimittelinduzierte Leberschäden beobachtet. Hepatische Transaminasen, Bilirubinwerte zu Beginn und regelmässig in den ersten drei Monaten und danach periodisch kontrollieren. Falls trotz symptomatischer Therapie von Diarrhö, Übelkeit, Erbrechen keine Besserung eintritt oder bei Transaminasenanstieg auf das 3-fache der Obergrenze des Normbereiches, sollte die Dosis auf 100 mg 2x pro Tag reduziert oder die Behandlung abgebrochen werden. Endgültiges Absetzen der Behandlung bei klinischen Zeichen einer Leberschädigung (Gelbsucht) oder bei Transaminasenanstieg > 5-fache Obergrenze des Normbereichs. Diarrhö und Erbrechen kann zur Dehydrierung mit oder ohne Elektrolytstörungen führen. Fälle D-012020-PC-CH-100948 Respiratory OFEV von Nierenfunktionsstörungen bzw. Nierenversagen, auch fatale, wurden berichtet. Patienten mit Risikofaktoren für Nierenfunktionsstörungen sollten überwacht werden. Anpassung der Therapie bei Nierenfunktionsstörung. Bei Patienten mit Antikoagulation, erhöhtem kardiovaskulären Risiko, Hypertonie oder Aneurysmen in der Vorgeschichte, arteriellen thromboembolischen Ereignissen, venöser Thromboembolie und Wundheilungsstörungen sollte Nintedanib mit Vorsicht angewendet werden. Fälle von schwerwiegenden und tödlichen Blutungen (Patienten mit/ohne Antikoagulanzien oder anderen Arzneimitteln, die Blutungen hervorrufen könnten) und Fälle von gastrointestinalen, auch tödlichen Perforationen, wurden berichtet. Bei Patienten mit kürzlichem bauchchirurgischem Eingriff, kürzlich aufgetretener Perforation eines Hohlorgans, peptischen Ulzera in der Anamnese, Divertikulose oder einer begleitenden Anwendung von Corticosteroiden oder NSAR ist besondere Vorsicht geboten. Endgültiges Absetzen der Behandlung bei Auftreten einer gastrointestinalen Perforation. Bei Befunden oder Symptomen einer akuten Myokardischämie ist eine Unterbrechung der Behandlung in Betracht zu ziehen. S: Nintedanib in der Schwangerschaft nicht anwenden, Stillen unterbrechen. Adäquate Kontrazeption UW: Sehr häufig: Diarrhö, Übelkeit, Abdominalschmerz, erhöhte Leberenzyme. Häufig: Appetitverlust, Gewichtsverlust, Erbrechen, Blutungen (Hämatochezie, Nasenbluten, Bluterguss; tödliche Ereignisse: gastrointestinale, intrakranielle, pulmonale Blutungen, DIC), erhöhte Leberenzymwerte (ALT, AST, GGT), Hautausschlag. Gelegentlich: Hypertonie (inkl. hypertensive Krise und hypertensive Kardiomyopathie), Thrombozytopenie, Erhöhung der Alkalischen Phosphatase im Blut, Hyperbilirubinämie, arzneimittelbedingter Leberschaden, Pankreatitis, gastrointestinale Perforation, Colitis, Pruritus IA: Starke P-gp-Inhibitoren (Ketoconazol, Erythromycin) können die Nintedanib-Exposition erhöhen. Starke P-gp-Induktoren (Rifampicin, Carbamazepin, Phenytoin, Johanniskraut) können die Nintedanib-Exposition verringern. Die Nintedanib- Exposition nahm unter Pirfenidon ab, Nintedanib beeinflusste nichte die Pirfenidon-Exposition. Nintedanib mit Nahrung einnehmen. P: Kapseln zu 100mg und 150mg: 60. Liste B. Kassenzulässig. Stand der Information: Oktober 2019; vollständige Fachinformation auf www.swissmedicinfo.ch. Boehringer Ingelheim (Schweiz) GmbH, Hochbergerstrasse 60B, Postfach, 4002 Basel. Boehringer Ingelheim (Schweiz) GmbH F20504 Hochbergerstrasse 60B, CH-4002 Basel, Telefon 061 295 25 25 MEDinfoIPF.BAS@boehringer-ingelheim.ch
Official Journal of Respiration International Journal of Thoracic Medicine Founded 1944 as “Schweizerische Zeitschrift für Tuberkulose und EABIP Pneumonologie” by E. Bachmann, M. Gilbert, F. Häberlin, W. Löffler, P. Steiner and E. Uehlinger, continued 1962–1967 as “Medicina Thoracalis”, as of 1968 as “Respiration”, H. Herzog (1962–1997), C.T. Bolliger (1998–2012) Editor-in-Chief Felix J.F. Herth – Universitätsklinikum Heidelberg, Heidelberg, Germany Associate Editors Konrad E. Bloch – Universitätsspital Zürich, Zurich, Switzerland Annette Boehler – Universitätsspital Zürich, Zurich, Switzerland Demosthenes Bouros – University of Athens, Athens, Greece Alfredo Chetta – Università degli Studi di Parma, Parma, Italy Vincent Cottin – Hôpital Louis Pradel, Lyon, France Christophe Dooms – University Hospitals Leuven, Leuven, Belgium Ernst Eber – Medical University of Graz, Graz, Austria Stefano Gasparini – Ospedale Torrette, Ancona, Italy Jürg Hammer – University Children’s Hospital Basel, Basel, Switzerland Coenraad F. Koegelenberg – University of Stellenbosch, Tygerberg Cape Town, South Africa Christoph Lange – German Center for Infection, Borstel, Germany Marek Lommatsch – Universität Rostock, Rostock, Germany Marc Miravitlles – Hospital Universitari Vall d’Hebron, Barcelona, Spain Joachim Müller-Quernheim – Universitätsklinikum Freiburg, Freiburg, Germany Laurent P. Nicod – Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland Dario Olivieri – University of Parma, Parma, Italy Venerino Poletti – Ospedale G.B. Morgagni, Forlì, Italy Winfried J. Randerath – Krankenhaus Bethanien, Solingen, Germany Otto D. Schoch – Kantonsspital St. Gallen, St. Gallen, Switzerland Esther Irene Schwarz – Sleep Disorders Centre at Guy’s & St Thomas’ NHS Foundation Trust, London, UK Pallav L. Shah – Imperial College London, London, UK Dirk-Jan Slebos – University Medical Center, Groningen, The Netherlands Silvia Ulrich – Universitätsspital Zürich, Zurich, Switzerland Omar S. Usmani – National Heart and Lung Institute & Royal Brompton Hospital, London, UK Stephan F. van Eeden – University of British Columbia, Vancouver, BC, Canada Lowie Vanfleteren – Gothenburg University, Gothenburg, Sweden Kazuhiro Yasufuku – University of Toronto, Toronto, ON, Canada (Continued on next page) Printed in Switzerland on acid-free and non-aging paper (ISO 9706) by Werner Druck & Medien AG, Basel
(Continued) Editorial Board Members Xavier Basagne Flores – Centre for Research in Environmental Epidemiology, Barcelona, Spain (Statistical Consultant) Semra Bilaceroglu – Izmir Training and Research Hospital for Thoracic Medicine and Surgery, Izmir, Turkey Ivan Caviedes – Clínica Alemana de Santiago, Santiago, Chile Mario Cazzola – University of Rome, Rome, Italy Prashant N. Chhajed – Institute of Pulmonology Mumbai, Mumbai, India Ulrich Costabel – Ruhrlandklinik, Essen, Germany Claudia Crimi – Azienda Ospedaliero-Universitaria Policlinico Vittorio Emanuele di Catania, Catania, Italy Jonne Doorduin – Radboud University Med. Center, Nijmegen, The Netherlands Herve Dutau – Hôpital Nord, Marseille, France Sebastian Fernandez-Bussy – Clinica Alemana de Santiago, Vitacura, Santiago de Chile, Chile Marios E. Froudarakis – University Hospital of Alexandroupolis, Alexandroupolis, Greece Gerhard Hoheisel – Praxis für Pneumologie und Allergologie, Leipzig, Germany Marc Humbert – Université Paris-Sud 11, Clamart, France Gabriel Izbicki – Shaare Zedek Medical Center, Jerusalem, Israel Michael Kreuter – University of Heidelberg, Heidelberg, Germany Shiyue Li – Guangzhou Institute of Respiratory Diseases, Guangzhou, China Weimin Li – West China Hospital of Sichuan University, Chengdu, China Andrew R.L. Medford – University of Bristol, Bristol, UK Nakajiama Takahiro – Chiba University, Chiba, Japan Claudia Ravaglia – Ospedale G.B. Morgagni, Forlì, Italy Raffaele Scala – Azienda Usl Toscana sud est, P.O. San Donato, Arezzo, Italy Frank C. Sciurba – University of Pittsburgh, Pittsburg, PA, USA Jiayuan Sun – Shanghai Jiao Tong University, Shanghai, China Sara Tomassetti – Azienda Ospedaliero Universitaria Careggi, Florence, Italy Adriano Vaghi – ASST Rhodense P.O. di Garbagnate Milanese, Milan, Italy Claudia Valenzuela – Hospital Universitario de la Princesa, Madrid, Spain Arschang Valipour – Otto-Wagner-Hospital, Vienna, Austria Chen Wang – China-Japan Friendship Hospital, Beijing, China Hubert Wirtz – Universität Leipzig, Leipzig, Germany Emiel F.M. Wouters – University Hospital Maastricht, Maastricht, The Netherlands © 2020 S. Karger AG, Basel www.karger.com karger@karger.com
Journal Information Aims and Scope Respiration brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diag- nosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science Guidelines for Authors research, reviews and letters to the editor. Further sections are: The Eye Catcher, What’s Your We strongly encourage authors to read the Guidelines for Authors at Diagnosis?, New Insights from Clinical Practice, and Guidelines. www.karger.com/res_guidelines prior to Respiration is the official journal of the Swiss Respiratory Society (SGP) and also home to the submitting an article. European Association for Bronchology and Interventional Pulmonology (EABIP), which oc- cupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make Respiration a complete guide to progress in thoracic medicine. Journal Contact For questions or comments, please contact the persons responsible who can be found at http://www.karger.com/Journal/Contact/224278. ISSN Print Edition: 0025–7931 Subscription Orders: Subscription Rates: Subscriptions run for a full ISSN Online Edition: 1423–0356 Orders can be placed at agencies, bookstores, calendar year. Prices are given per year. or directly with the Publisher. Journal Homepage: www.karger.com/res Personal subscription: Bibliographic Indices: This journal is regularly l isted S. Karger AG Print or Online Print+Online combined in bibliographic services, including Current Con- Medical and Scientific Publishers CHF 590.00 CHF 679.00 tents® and PubMed/MEDLINE. Allschwilerstrasse 10 EUR 532.00 EUR 612.00 CH–4009 Basel USD 621.00 USD 714.00 Publication Data: Respiration is published 12 times Switzerland a year. Volume 99, with 12 issues, appears in 2020. postage and handling t: +41 61 306 11 11 (added to print and print+online) f: +41 61 306 12 34 Copyright: © 2020 S. Karger AG, Basel (Switzerland). CHF 105.60 Europe, CHF 148.80 Overseas e: karger@karger.com All rights reserved. No part of this publication may be EUR 96.00 w: www.karger.com translated into other languages, reproduced or uti- USD 144.00 lized in any form or by any means, electronic or me- (for courier services only: chanical, including photocopying, recording, micro- Allschwilerstrasse 10 Institutional subscription: copying, or by any information storage and retrieval CH–4055 Basel) Print or Online Print+Online combined system, without permission in writing from the pub- CHF 3456.00 CHF 3974.00 lisher. Change of Address: EUR 3114.00 EUR 3581.00 Both old and new addresses should be sent USD 3638.00 USD 4184.00 Disclaimer: The statements, opinions and data con- to the subscription source. tained in this publication are solely those of the indi- postage and handling vidual authors and contributors and not of the pub- (added to print and print+online) lisher and the editor(s). The appearance of advertise- CHF 132.00 Europe, CHF 186.00 Overseas ments in the journal is not a warranty, endorsement, EUR 120.00 or approval of the products or services advertised or USD 180.00 of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury Back Volumes and Single Issues: Information on to persons or property resulting from any ideas, availability and prices of single print issues and print methods, instructions or products referred to in the or electronic back volumes can be obtained from content or advertisements. Customer Service at service@karger.com. © 2020 S. Karger AG, Basel www.karger.com karger@karger.com
Vol. 99, No. 4, 2020 Contents Thematic Review Series 277 Navigation Bronchoscopy Kemp, S.V. (London) Editorial Comment 287 Presenting the Board of Respiration: Annette Boehler Boehler, A. (Zurich) Clinical Investigations 289 Pulmonary Rehabilitation in Patients with Pulmonary Sarcoidosis: Impact on Exercise Capacity and Fatigue Grongstad, A. (Jessheim/Oslo); Spruit, M.A. (Horn/Maastricht/Diepenbeek); Oldervoll, L.M. (Trondheim); Vøllestad, N.K. (Oslo); Edvardsen, A. (Jessheim) 298 Accelerated Loss of Antigravity Muscles Is Associated with Mortality in Patients with COPD Tanimura, K.; Sato, S.; Sato, A.; Tanabe, N.; Hasegawa, K.; Uemasu, K.; Hamakawa, Y.; Oguma, T. (Kyoto); Muro, S. (Kyoto/Nara); Hirai, T. (Kyoto) 307 PRDM15 Is Associated with Risk of Chronic Obstructive Pulmonary Disease in a Rural Population in Chile Hosgood III, H.D. (Bronx, NY); Díaz-Peña, R. (Talca); Blansky, D. (Bronx, NY); Jaime, S.; Parra, V. (Talca); Boekstegers, F.; Bermejo, J.L. (Heidelberg); García-Valero, J.; Montes, J.F. (Barcelona); Valdivia, G. (Santiago); Miravitlles, M.; Agustí, À. (Barcelona/Madrid); Silva, R.S.; Olloquequi, J. (Talca) 316 Cardiorespiratory Fitness and Physical Activity following Lung Transplantation: A National Cohort Study Ulvestad, M.; Durheim, M.T.; Kongerud, J.S. (Oslo); Hansen, B.H. (Kristiansand); Lund, M.B.; Edvardsen, E. (Oslo) Interventional Pulmonology 325 Is Bigger Really Better? Comparison of Ultraportable Handheld Ultrasound with Standard Point-of-Care Ultrasound for Evaluating Safe Site Identification and Image Quality prior to Pleurocentesis Newhouse, S.M.; Effing, T.W.; Dougherty, B.D.; D’Costa, J.A.; Rose, A.R. (Bedford Park, SA) 333 Efficacy and Safety of the 9-mm Intrabronchial Valve in Patients with Advanced Emphysema Kontogianni, K.; Gompelmann, D. (Heidelberg); Valipour, A. (Vienna); Gerovasili, V. (Birmingham); Schuhmann, M. (Heidelberg); Stanzel, F. (Hemer); Herth, F.J.F.; Eberhardt, R. (Heidelberg) © 2020 S. Karger AG, Basel Access to full text and tables of contents, including tentative ones for forthcoming issues: www.karger.com/res
344 Impact of Silicone Stent Placement in Symptomatic Airway Obstruction due to Non-Small Cell Lung Cancer – A French Multicenter Randomized Controlled Study: The SPOC Trial Dutau, H. (Marseille); Di Palma, F.; Thibout, Y. (Saint Etienne); Febvre, M. (Paris); Cellerin, L.; Naudin, F. (Nantes); Hermant, C. (Toulouse); Vallerand, H. (Reims); Lachkar, S. (Rouen); Fournier, C. (Lille); Laroumagne, S. (Marseille); Quiot, J.-J. (Brest); Vergnon, J.-M. (Saint Etienne) 353 Safety and Efficacy of the Tracheobronchial Bonastent: A Single-Center Case Series Holden, V.K. (Boston, MA/Baltimore, MD); Ospina-Delgado, D.; Chee, A.; Parikh, M.S.; Carreiro, M.M. (Boston, MA); Alape Moya, D. (Boston, MA/Worcester, MA); Fernandez-Bussy, S. (Jacksonville, FL); Herth, F.J.F. (Heidelberg); Majid, A. (Boston, MA) Guidelines 360 Consensus-Based Care Recommendations for Pulmonologists Treating Adults with Myotonic Dystrophy Type 1 Boentert, M. (Münster); Cao, M. (Stanford, CA); Mass, D. (Nijmegen); De Mattia, E.; Falcier, E. (Milan); Goncalves, M. (São João); Holland, V. (Houston, TX); Katz, S.L. (Ottawa, ON); Orlikowski, D. (Garches); Sannicolò, G. (Milan); Wijkstra, P. (Groningen); Hellerstein, L. (San Francisco, CA); Sansone, V.A. (Milan) © 2020 S. Karger AG, Basel Access to full text and tables of contents, including tentative ones for forthcoming issues: www.karger.com/res
Fasenra® est indiqué comme traitement d’entretien additionnel chez les adultes atteints d’un asthme éosinophilique sévère insuffisamment contrôlé malgré des corticostéroïdes inhalés plus bêta-agonistes à action prolongée à haute dose1 (Benralizumab) Injektion Subkutane 30 mg PUISSANT RÉDUIT LE NOMBRE D’EXACERBATIONS * ,1 PLUS DE SOUFFLE QUATRE SEMAINES SEULEMENT APRÈS LA PREMIÈRE DOSE** ,2 Le seul anticorps du récepteur de l’IL5 avec une déplétion presque totale des éosinophiles dans le sang en 24 heures3,4 Vous trouverez l’indication détaillée dans l’information professionnelle de Fasenra® * Réduction significative des exacerbations dans toutes les études pivots (SCIROCCO (p < 0.001), CALIMA (p < 0.019) und ZONDA (p < 0.001)) ** VEMS pré-bronchodilatateur par rapport à la valeur de référence après 4 semaines dans le sous-groupe des patients présentant un taux sanguin d’éosinophiles ≥300/μl (p < 0,05). L’amélioration du VEMS à 4 semaines n’était pas un critère d’évaluation de l’étude SIROCCO. Références: 1. Information professionnelle, www.swissmedic.ch. 2. Bleecker ER et al. Efficacy and safety of benralizumab for patients with severe asthma uncontrolled with high-dosage inhaled corticosteroids and long-acting β2-agonists F20509 (SIROCCO): a randomised, multicentre, placebo-controlled phase 3 trial. Lancet 2016; 388: 2115–2127. 3. Tan LD et al. Benralizumab: a unique IL-5 inhibitor for severe asthma. Journal of Asthma and Allergy 2016:9 71–81. 4. Bagnasco D et al. Anti-Interleukin 5 (IL-5) and IL-5Ra Biological Drugs: Efficacy, Safety, and Future Perspectives in Severe Eosinophilic Asthma; Front Med (Lausanne). 2017; 4: 135. Published online 2017 Aug 31. Fasenra®, solution pour injection sous-cutanée C: Benralizumab, 1 ml à 30 mg; liste B. I: Adjuvant à la thérapie d’entretien chez le patient adulte à partir de 18 ans avec asthme à éosinophiles sévère caractérisé par les critères suivants: au moins deux exacerbations au cours des 12 derniers mois sous thérapie standard actuelle (corticothérapie inhalée à hautes doses plus bronchodilatateurs de longue durée d’action) et/ou nécessité d’un traitement par corticostéroïdes systémiques; numération des éosinophiles sanguins CH-1641_05/2019 ≥ 0,3 G/litre (correspond à ≥ 300 cellules/μl). P: 30 mg par voie sous-cutanée toutes les 4 semaines, à partir de la semaine 8: 30 mg par voie sous-cutanée toutes les 8 semaines. CI: Hypersensibilité. PR: exacerbations aiguës de l’asthme, l’arrêt brutal des corticostéroïdes est déconseillé, il convient de traiter les patients atteints d’infestations helminthiques avant l’instauration du traitement. IA: Aucune. EI: Fréquents: céphalées, pharyngite, fièvre, réactions au site d’injection, réactions d’hypersensibilité. Occasionnel, rare, très rare: voir sous www.swissmedicinfo.ch. Mise à jour de l’infor- mation: mars 2019. Pour plus d’informations: www.swissmedicinfo.ch ou AstraZeneca AG, Neuhofstrasse 34, 6340 Baar. www.astrazeneca.ch.
28th Annual Meeting German Sleep Society (DGSM) SLEEP AND WORK F20107 © 65464521 | lunaundmo | stock.adobe.com 29–31 October 2020 I Essen the early bird catches the worm Abstractdeadline: 15 May 2020 I www.dgsm-kongress.de
The interdisciplinary “hub” for researchers, clinicians and public health professionals www.biomedicinehub.com An international Editorial Board • open access with more than 170 renowned specialists guarantees high-quality • peer-reviewed and relevant content. • fast online publication There is currently no Biomedicine Hub is an interdisciplinary journal: a ‘hub’ for researchers, clinicians and public health professionals across biomedical disciplines Article Processing Charge to share research findings, ideas, theories, experimental results and (APC). clinical experience. Biomedicine Hub aims at facilitating the exchange of knowledge be- tween disciplines, with a focus on translational science for the devel- opment of cutting-edge technologies and the improvement of health care. A further focus is on emerging interdisciplinary fields at the fore- front of medicine. Biomedicine Hub Founded: 2015 Category: Basic, Translational and Clinical Research Fields of Interest: All Listed in bibliographic services, including: Google Scholar 2019: Vol. 4 online only KF 19007 Language: English More information at e-ISSN 2296–6870 w w w. biomedicinehub.com
Fast Facts – The ultimate medical handbook series John Harrington Fast Facts: Asthma for Patients and Their Supporters Harrington, J. (New Lambton Heights, NSW) Asthma is a long-term condition that reduces the amount of air Fast Facts: Asthma for Patients and Their Supporters flowing in and out of the lungs. Whether your symptoms are mild, 48 p., 23 fig., 23 in color, 8 tab., 2020 difficult-to-control or severe, it is important to be in control of your CHF 10.00 / EUR 7.00 / USD 9.00 asthma. The information in this booklet is designed to help you Soft cover or online prices for personal customers and your family better understand the condition, what triggers it Prices subject to change, VAT not included and how to treat it. It includes clear instructions for good inhaler EUR price for eurozone countries, technique and emphasizes the importance of having an Asthma USD price for USA and Latin America only ISBN 978–1–912776–64–1 Action Plan in place so that you know: e-ISBN 978–1–912776–65–8 • when and how often to take your treatment • how to tell if your symptoms are getting worse • what to do when your symptoms get worse. With simple clear illustrations, explanation of medical terms and space to write down the questions you want to ask your doctor or nurse, this resource will help you take control of your asthma. Contents • What is asthma? • What causes asthma? • What are the symptoms of asthma? • What are the tests for asthma? • What medications are used to treat asthma? • Inhalers and spacers • Your Asthma Action Plan • How do I prevent an asthma attack? • How do I manage an asthma attack? • Difficult-to-control asthma Dear Librarian • Severe asthma I have reviewed this publication and • Treatment of severe asthma would like to recommend it for our library. • Exercise-induced asthma Recommended by: • Occupational asthma • Asthma in older people • Asthma in pregnancy • Asthma in children Department: Date: Signature: The easiest way to order: w w w.karger.com/fast fac ts KI20162 Karger – Medical and Scientific Publishers Orders may be placed with any bookshop, CH–4009 Basel, Switzerland subscription agency, directly with the publisher orders@karger.com, f: +41 61 306 12 34 or through a Karger representative. www.karger.com
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