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The St.Emlyn’s Podcast
Ep 217 - Weaning the wheezy child with David James at the PREMIER Conference
Jun 13, 2023
PEM Consultant David James challenges current practices in weaning plans for wheezy children. He emphasizes personalized asthma treatment and avoiding overuse of short-acting beta agonists. By implementing a weaning plan for sub-utilization in children with respiratory issues, there was a notable reduction in sub-use rates, highlighting the significance of education and patient empowerment in healthcare outcomes.
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Quick takeaways
- Tailoring reliever therapy for wheezy children based on symptoms leads to decreased sabbutamol usage rates without compromising care.
- Implementing a flexible weaning plan for sabbutamol in children results in reduced usage and positive family engagement.
Deep dives
Rethinking Sabbutamol Weaning Plans
The podcast discusses the concept of sabbutamol weaning plans for wheezy children, emphasizing a shift away from traditional fixed-dose approaches. David James challenges the common practice, highlighting the lack of evidence supporting these weaning plans. By examining outcomes in the UK compared to other countries, a connection is made between sabbutamol overuse and adverse asthma outcomes. The podcast advocates for tailoring reliever therapy based on individual symptoms rather than rigid dosing guidelines. Implementing a more flexible approach led to a significant reduction in sabbutamol usage rates without compromising patient care.
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Discover
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