This is a new guideline on bronchial thermoplasty from NICE on bronchial thermoplasty for severe asthma. NICE advise that it can be used.
This procedure reduces the smooth muscle mass lining the airways, making them less able to constrict. It is done under sedation or under GA. A catheter is inserted into the lungs and radiofrequency energy pulses are delivered to the airways. Normally three procedures are needed, three weeks apart.
It should only be done in specialist centres with access to ITU.