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Grand Rounds: New Asthma Guidelines: Application to Everyday Practice


By Lisa Sammon, DO , Pediatric Allergist/Immunologist, Akron Children's Hospital, Akron, OH

Allergy and Immunology

More about Lisa Sammon, DO

Objectives (Educational Content) :

1. Explain updated changes to the National Heart Lung and Blood Institute (NHL) asthma guidelines released in 2020. 2. Describe GRADE system in order to better assess application of guidelines for clinical practice. 3. Provide real-world clinical examples of utility of guidelines.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

New guidelines for management of asthma released in 2020 by the National Heart, Lung and Blood Institute (NHL).

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


Dr. Sammon has indicated that she has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


N. Franklin Adkinson*, Bruce S. Bochner, A. Wesley Burks, et al. 2014.  Middleton's Allergy: Principles and Practice: Eighth Edition. 

Cloutier MM, Dixon AE, Krishnan JA, Lemanske RF, Pace W, Schatz M. Managing Asthma in Adolescents and Adults: 2020 Asthma Guideline Update From the National Asthma Education and Prevention Program. JAMA. 2020;324(22):2301–2317. 


Cusack RP, Satia I, O'Byrne PM. Asthma maintenance and reliever therapy: Should this be the standard of care? Ann Allergy Asthma Immunol. 2020 Aug;125(2):150-155. 

Kuruvilla ME, Lee FE-H, Lee GB.  Understanding Asthma Phenotypes, Endotypes, and Mechanisms of Disease.  Clin Rev Allergy Immunol.  2019;56(2):219-33. 

NHLBI & NAEPPCC.  2020 Focused Updates to the Asthma Management Guidelines:  A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.  J Allergy Clin Immunol 2020;146(6):1217-70. 

Rao DR, Phipatanakul W. An Overview of Fractional Exhaled Nitric Oxide and Children with Asthma. Expert Rev Clin Immunol. 2016;12(5):521-530. 

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