The term acute severe asthma has recently replaced status asthmaticus to describe severe asthma attack. Perhaps, this change was associated with better asthma treatment, which prevents currently patients from occurrence of such a severe exacerbation of this disease, to call it status asthmaticus. "Global Initiative for Asthma Global strategy for asthma management and prevention" contains rational guidance on management of this disease, but provide little information about status asthmaticus. This fact was the main reason to prepare present proposal, which was based on suggestion of Global Initiative for Asthma, other current scientific papers and our own experience. We hope that this proposal will begin further discussion, which will bring us closer to more rational solution of this problem.