ERS Webinar

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Diagnosis and management of preschool wheeze: recent advances

Chair: Marielle W.H. Pijnenburg Speaker: Sejal Saglani

Wheeze attacks in preschool children account for at least 75% of all childhood emergency department attendances and hospitalisations for acute wheezing and asthma. The rate of hospitalisation has remained unchanged for over 2 decades and our management of both acute episodes and approaches to prevent attacks needs to improve.

Recent trials have been published relating to the management of acute episodes and use of objective biomarkers to direct maintenance therapy, these need to be translated in an appropriate manner to ensure there is no inappropriate use of steroids or antibiotics in this age group. Current management is based mainly on symptoms and clinical history, the aim of this webinar is to emphasise the need to make objective assessments prior to deciding treatment.

Educational aims

  • To have a clearer idea about the optimal management of acute attacks of preschool wheeze.
  • To understand the role and utility of objective tests that can be used to help define preschool wheeze phenotypes to guide management.
  • To outline an approach to phenotype based management to prevent preschool wheeze attacks.


Discussion around the topic using clinical case based scenarios​.


  • Management of acute wheeze attacks in preschool children aged 1-5 years
  • Use of objective tests and symptom pattern to phenotype patients
  • Phenotype based management to prevent attacks of wheeze and achieve symptom control
  • Definition of “severe / difficult” preschool wheeze and the need for further investigations

Learning outcomes

  • Understand the need to make objective assessments of airway inflammation and infection to help diagnose phenotypes of preschool wheeze and guide management.
  • Learn about performance of induced sputum and make measurements of exhaled nitric oxide and lung function in preschool wheezers.
  • Learn about the role of invasive investigations, including bronchoscopy in this age group.
  • Have an update on the biomarkers currently used to direct treatment.

What is a webinar?

The webinar closely simulates a lecture-based teaching experience. The speaker can interact with the audience, just as in a classroom setting.

This webinar comprises 45-minute lecture followed by a 15-minute question-and-answer sessions. During the webinar you will be asked to share your opinion on issues related to the topic using interactive polls. Your answers are not evaluated but participation is mandatory to obtain the CME credits.

All participants will be able to hear the lecturer and see the slides throughout the presentation. As a participant you will be able to pose questions or discuss ideas with the other participants via the text chat facility and the speaker will respond to the questions via the microphone.

Log in guidelines

To attend the webinar you will need to log in to an Adobe Connect platform. We will send you related login information one week before the webinar is due to commence.

In order to benefit from this live experience we advise that you ensure that your equipment is compatible with the technical specifications listed here:

It is also recommended that you perform a system test.

  • Please log in to the webinar 20 minutes before it is scheduled to commence. If you have any technical difficulties whilst trying to log in or during the session please contact
  • Check Central European Time.
  • To achieve the best quality, we recommend to stop all other programmes and to avoid downloading anything from the internet during your connection to the lecture.
  • Please also ensure that your audio settings are not set to mute and adjust the volume to a comfortable level.

Target Audience

  • General Practitioner
  • Paediatrician

Diseases / Methods

Airway diseases
Paediatric respiratory diseases
General respiratory patient care
Public health