The Asthma Revolution Part 1: New Diagnostic Criteria Explained

This channel may make reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.

My name is Fernando Florido (also known as Juan Fernando Florido Santana), a GP in the UK. In this episode, I will go through the new NICE guideline on diagnosing, monitoring, and managing chronic asthma, NG245, focusing on what is relevant in Primary Care only. Given how extensive the guidance is, in this episode I will just focus on initial assessment and diagnosis.

In the next three episodes, I will cover:
• Treating asthma in patients aged 12 and over
• Treating asthma in children aged 5 to 11, and those under 5
• And finally, Asthma monitoring, general treatment principles, and management in special groups

The new guideline is a collaborative initiative developed by NICE, the British Thoracic Society (BTS), and the Scottish Intercollegiate Guidelines Network (SIGN). It replaces previous guidance, and you can find a link to it in the episode description.

I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.

Tracks:

00:00 – Introduction and welcome
00:45 – Initial assessment
02:43 – Objective objectives tests - aged over 16
05:44 – Objective objectives tests - aged 5-16
07:44 – Objective objectives tests - aged under 5
08:45 – Occupational asthma
09:31 –Thank you and good-bye

There is a podcast version of this and other videos that you can access here:

Primary Care guidelines podcast:

• Redcircle: https://redcircle.com/shows/primary-c...
• Spotify: https://open.spotify.com/show/5BmqS0O...
• Apple podcasts: https://podcasts.apple.com/gb/podcast...

There is a YouTube version of this and other videos that you can access here:
• The Practical GP YouTube Channel:
   / @practicalgp  

The link to the new collaborative NICE guideline on chronic asthma can be found here:
• https://www.nice.org.uk/guidance/ng245
The table on alternative diagnoses in wheezy children in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here:

• https://rightdecisions.scot.nhs.uk/bt...
The table on alternative diagnoses in adults in the BTS/SIGN British guideline on the management of asthma SIGN 158 can be found here:

• https://rightdecisions.scot.nhs.uk/as...
The algorithm A for a summary of objective tests for diagnosing asthma in adults and young people (aged over 16 years) with a history suggesting asthma can be found here:

• https://www.nice.org.uk/guidance/ng24...
The algorithm B for a summary of objective tests for diagnosing asthma in children aged 5 to 16 with a history suggesting asthma can be found here:

• https://www.nice.org.uk/guidance/ng24...

Disclaimer:
The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions.
In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.