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October 2022 -
Volume 20, Issue 10


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From the Editor

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Original Contribution

Evaluation of physical performance and quality of life among patients with previous kidney transplantation: A Cross-sectional study
Shami, Mohammed Adel M, Abdulrahman Mohammed Ali, Saud Mohammed Saud Aleisa, Meshari Ghali Alnefaie
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525174

Investigating the awareness of breast cancer among female pharmacy students in the Makkah region, Saudi Arabia
Jumana Sako, Ghdi Almsaoudi, Rasha AL-Malki, Raghidah Alilyyani,
Rawan Almatrafi, Raghad Almatrafi, Nouf Alwafi, Shuruq Alamer,
Rehab Almehmadi, Reem Alotaibi, Safaa Alsanosi, Alaa Falemban,
Deena Bukhary, Yosra Al-Hindi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525175

Assessing Medical Student Basic Otolaryngology Knowledge:
A questionnaire-based Study

Yahya A. Fageeh, Mohammed A. Basurrah, Abdulaziz S. Aljuaid, Abdulmohsen H. Alghamdi, Rayan D. Alamri, Hamoud A. Alobaylan, Mujahid A. Alzahrani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.952596

Outcome of Antenatal Renal Pelvic Dilatation - Review of Cases from a Tertiary Care Center, in the Armed Forces Hospital, Southern Region, Saudi Arabia
Khalil Mahmoud, Abdullah Mohammed, Basim Qusayri, Bayan Hanif, Mohamed Ayed, Ahmad M. Elabed, Ahmed Kandeel Elhaddad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525187

Regional Covid

COVID-19 Effect on Dietary Supplements' Consumption, Prophetic Medicine Practices and Herbs Use in Saudi Arabia
Elham Abbas Aljaaly, Reem Alhijri, Lujain Al Nasser
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.952597

Self-Reported Adverse Events of COVID-19 Vaccines on Menstrual Cycles
Afaf Farouq Alzahrani, Nada Abdulfattah Abdulaal
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525188

Willingness and attitudes of parents of children under the age of 12 about the COVID- 19 vaccine in Taif city
Ayman A. Atalla, Jamal Faydh, Saad Althuwaybi, Ethar Alharthi, Amani Alrumaym
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525161

Population and Community Studies

Type III Supracondylar humeral fracture in children treated by 3 lateral versus 2 cross K-wire fixation, Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen, Nazih Ali Abdulrahman Omer, Mustafa Kamal Mustafa, Ahmed Mohamed Albushtra
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525164

Assessment of Premarital Screening for Prospective Couples in Aseer Region, Saudi Arabia, 2021
Ayman Mohammad Aboalam, Ali A. Al-Mousa, Saad Alamri, Ossama A. Mostafa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525190

Review Articles

High sensitivity C-reactive protein and dyslipidemia as a marker for the risk for cardiovascular disease
Arun Pandeya, Naveen Kumar Shreevastva, Lal Chandra, Vishwajeet Rohil, Prahlad Karki, Madhab Lamsal
[Abstract]

[pdf]
DOI: 10.5742/MEWFM.2022.9525180

Role of Ipratropium bromide in management of Thunderstorm asthma
Numan Ahmad, Kaleem Murtaza Buttar
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525181

Subcutaneous Migration of Distal Ventriculoperitoneal Shunt Catheter in Morbidly Obese Patients: Two Case reports
Sara Aljohani, Khalid Mahrous, Ahmed AlJohani, Luma Qutub,
Layan Kutub, Raghad Alhajrasi, Hussam Kutub, Abdulrahman Mohammed AlAhmadi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525183

Case Reports

A diagnostic surprise of Hodgkin's Lymphoma in a 29-year-old long distance runner
Kaleem Murtaza Buttar, Numan Ahmad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525185

Middle age man with Gastroparesis
Babur Qayyum Khan
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525186

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

   
October 2022 - Volume 20, Issue 10

Role of Ipratropium bromide in management of Thunderstorm asthma

(1) Fellow Royal Australian College of General Practitioners, Melbourne, Australia
(2) Consultant Family Physician, Healthworks Healthcare Complex, Victoria, Australia

Corresponding Author:
Dr. Numan Ahmad, MBBS, FRACGP, Dip.Paeds
Fellow Royal Australian College of General Practitioners,
Melbourne, Australia
Mobile No:+ 61 403351823
Email: drnumanahmad@gmail.com

Received: August 2022 Accepted: September 2022; Published: October 1, 2022. Citation: Numan Ahmad, Kaleem Murtaza Buttar. Role of Ipratropium bromide in management of Thunderstorm asthma. World Family Medicine. 2022; 20(10): 66-73. DOI: 10.5742/MEWFM.2022.9525181

Abstract

Epidemic thunderstorm asthma has been reported to have occurred around twenty times over the past three decades in locations around the world. Thunderstorm asthma events are characterized by a significant increase in asthma presentations, which on occasion can overwhelm local medical services and result in fatalities. Thunderstorm asthma (TA) typically presents during an aeroallergen season in individuals, sensitized to perennial rye grass pollen (RGP) in Australia, in combination with meteorological factors such as thunderstorms and lightning activity. Short acting beta agonist (SABA) only treatment is sub-optimal therapy for prevention of asthma exacerbations. The combined treatment includes inhaled corticosteroids (ICS) and SABA but is found to be contentious. So the present review focuses on suitable alternative, short acting muscarinic antagonist (SAMA), Ipratropium bromide and its efficacy on the management of allergic asthma. Salbutamol induces bronchodilation rapidly but it elicits profound cardiovascular event as the side effects. Meanwhile, ipratropium also has equivalent effect of salbutamol with low side effect profile. Ipratropium also minifies the asthmatic response to grass pollen, allergen induced bronchoconstriction. Further, it also reduces allergen induced early and late asthmatic response and also inhibits the response towards histamine inhalation. In this regard, ipratropium may be considered as a suitable agent in the management of thunderstorm asthma and future trials are highly warranted.

Keywords: Thunderstorm asthma, grass pollen, rye grass, short acting beta agonist, Ipratropium bromide

 







 


 

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