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Status Asthmaticus

Cayetano Díaz Chantar, João Pedro Abreu Cravo, Antonio M Esquinas
No abstract text is available yet for this article.
September 2016: Revista Brasileira de Terapia Intensiva
Inês Carvalho, Sara Querido, Joana Silvestre, Pedro Póvoa
No abstract text is available yet for this article.
September 2016: Revista Brasileira de Terapia Intensiva
P Benson Ham, Brice Hwang, Linda J Wise, K Christian Walters, Walter L Pipkin, Charles G Howell, Jatinder Bhatia, Robyn Hatley
Conventional treatment of respiratory failure involves positive pressure ventilation that can worsen lung damage. Extracorporeal membrane oxygenation (ECMO) is typically used when conventional therapy fails. In this study, we evaluated the use of venovenous (VV)-ECMO for the treatment of severe pediatric respiratory failure at our institution. A retrospective analysis of pediatric patients (age 1-18) placed on ECMO in the last 15 years (1999-2014) by the pediatric surgery team for respiratory failure was performed...
September 2016: American Surgeon
Poobalan Naidoo
No abstract text is available yet for this article.
2016: Pan African Medical Journal
Hongmei Qiao, Huanji Cheng, Li Liu, Jianing Yin
Rhabdomyolysis is a rare but potentially fatal complication of status asthmaticus. Since the first case was reported in 1978, only a few dozen cases have been described till date. We performed a literature review with the aim to characterize the pathophysiological basis of the occurrence of rhabdomyolysis in patients with status asthmaticus. Excessive exertion of respiratory muscles, hypoxia and acidosis, electrolyte imbalance, infections, some drugs used for asthma control, use of mechanical ventilation, prolonged cardiopulmonary resuscitation, higher age of the patient and some underlying diseases or genetic factors appear to be involved in its causation...
2016: Allergy, Asthma, and Clinical Immunology
Danish Vaiyani, Jose E Irazuzta
OBJECTIVES: To determine the feasibility and safety of a simplified high-dose magnesium sulfate infusion (sHDMI) for the treatment of status asthmaticus. METHODS: We retrospectively compared 2 different high-dose magnesium sulfate infusion regimens, as adjunctive treatment in status asthmatics, using data that were preciously collected. The initial high-dose, prolonged magnesium infusion (HDMI) regimen consisted of a loading dose of 75 mg/kg (weight ≤ 30 kg) or 50 mg/kg (weight > 30 kg) over a period of 30 to 45 minutes followed by a continuous infusion of 40 mg/kg/hr for an additional 4 hours...
May 2016: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
Ho-Chang Kuo, Ya-Ling Yang, Shu-Chen Ho, Mindy Ming-Huey Guo, Jyun-Hong Jiang, Ying-Hsien Huang
General anesthesia (GA) has been used for second line treatment strategy for status asthmaticus in pediatric patients. The association between GA in children and risk of followed-up allergic diseases is unclear. This study aims to assess the risk of allergic diseases after GA in children.We did a nationwide retrospective cohort study by analyzing data from the National Health Insurance Research Database (NHIRD) in Taiwan. The subsequent risks for allergic diseases, including asthma (ICD-9: 493.X), allergic rhinitis (AR; ICD-9 CM code 477...
July 2016: Medicine (Baltimore)
Carolin Steinack, Renato Lenherr, Heidy Hendra, Daniel Franzen
Introduction Status asthmaticus can develop into a life-threatening disorder that requires mechanical ventilation. Severe respiratory failure during pregnancy can worsen maternal and fetal outcomes. Previous case studies have demonstrated ECMO as a live-saving measure for pregnant women with ARDS as well as non-pregnant patients with status asthmaticus. Case study A 25-year old woman, who was five weeks pregnant, was admitted with status asthmaticus and severe hypercapnic respiratory failure. Despite rescue therapies such as pressure control ventilation with high inspiratory pressures, inhaled beta two agonists and antimuscarinic drugs, intravenous salbutamol, methylprednisolone and magnesium sulfate, her condition gradually deteriorated...
June 24, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Lara González García, Corsino Rey, Alberto Medina, Juan Mayordomo-Colunga
A 12-year-old male with status asthmaticus developed subcutaneous emphysema and pneumomediastinum. He was transferred to our unit, where he received noninvasive ventilation (NIV). This respiratory support technique is not an absolute contraindication in these cases. After 2 h on NIV, he worsened sharply and the subcutaneous emphysema got bigger suddenly. He needed invasive ventilation for 5 days. Final outcome was satisfactory. This case illustrates that it is mandatory to keep a high level of vigilance when using NIV in patients with air leaks...
April 2016: Indian Journal of Critical Care Medicine
(no author information available yet)
No abstract text is available yet for this article.
July 2016: American Journal of Bioethics: AJOB
Inês Carvalho, Sara Querido, Joana Silvestre, Pedro Póvoa
Helium was discovered in 1868 by the French astronomer Pierre-Jules-César Janssen and was first used as a therapeutic treatment for airway obstruction by Barach almost 70 years later, in 1934. Heliox is characterized by its low density, which makes it more fluid under conditions of turbulence, thus minimizing airway pressure and facilitating the occurrence of laminar flow. The present article describes two clinical cases of patients with status asthmaticus subjected to mechanical ventilation and refractory to treatment in whom heliox was used, which allowed optimization of the efficacy of conventional pharmacological treatments...
January 2016: Revista Brasileira de Terapia Intensiva
Peter A Ricketti, David W Unkle, Richard Lockey, Dennis J Cleri, Anthony J Ricketti
INTRODUCTION: Idiopathic spontaneous hemothorax has been rarely described in the literature. CASE STUDY: A case of status asthmaticus and spontaneous hemothorax is described in a 29-year-old female of African descent who presented to the emergency room after 2 days of severe cough productive of yellow sputum, otalgia, sore throat, subjective fevers, chills, headache, progressive wheezing, chest tightness and dyspnea. She had a history of 7 years of asthma and was non-adherent with her controller asthma medications...
September 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Elena Aragona, Eussra El-Magbri, Justin Wang, Tessa Scheckelhoff, Trevor Scheckelhoff, Assata Hyacinthe, Suja Nair, Amina Khan, Gustavo Nino, Dinesh K Pillai
BACKGROUND AND OBJECTIVE: The prevalence of both childhood asthma and obesity remain at historically high levels and disproportionately affect urban children. Asthma is a common and costly cause for pediatric hospitalization. Our objective was to determine the effect of obesity on outcomes among urban children hospitalized with status asthmaticus. METHODS: A retrospective cohort study was performed by using billing system data and chart review to evaluate urban children admitted for asthma...
April 2016: Hospital Pediatrics
Djillali Annane
Neuromuscular blocking agents and corticosteroids are widely used in medicine and in particular in the intensive care unit (ICU). Neuromuscular blockade is commonly used to ease tracheal intubation, to optimize mechanical ventilation and oxygenation in acute respiratory disorders such as status asthmaticus and acute respiratory distress syndrome (ARDS), to prevent shivering during therapeutic hypothermia, and also in patients with elevated intracranial pressure. In the ICU, patients with sepsis, ARDS, community-acquired pneumonia, exacerbation of chronic obstructive pulmonary disease, severe asthma, or trauma may receive corticosteroids...
February 2016: Seminars in Respiratory and Critical Care Medicine
Charles L Golding, Jamie L Miller, Morris R Gessouroun, Peter N Johnson
OBJECTIVE: To review the role of ketamine continuous infusions (CINs) in critically ill children for sedation and analgesia, withdrawal, and bronchospasm. DATA SOURCES: Relevant articles were identified using MEDLINE (1946 to December 2015), EMBASE (1988 to December 2015), International Pharmaceutical Abstracts (1970 to December 2015), and the Cochrane Library (1996 to December 2015) using the terms ketamine, children, and CIN. STUDY SELECTION AND DATA EXTRACTION: All English-language articles in humans identified from data sources were evaluated...
March 2016: Annals of Pharmacotherapy
Paula de Souza Silva, Sérgio Saldanha Menna Barreto
OBJECTIVE: To evaluate the quality of available evidence to establish guidelines for the use of noninvasive ventilation for the management of status asthmaticus in children unresponsive to standard treatment. METHODS: Search, selection and analysis of all original articles on asthma and noninvasive ventilation in children, published until September 1, 2014 in all languages in the electronic databases PubMed, Web of Science, Cochrane Library, Scopus and SciELO, located using the search terms: "asthma", "status asthmaticus", "noninvasive ventilation", "Bronchospasm", "continuous positive airway pressure", "child", "infant", "pediatrics", "hypercapnia", "respiratory failure" and the keywords "BIPAP", "CPAP", "Bilevel", "acute asthma" and "near fatal asthma"...
October 2015: Revista Brasileira de Terapia Intensiva
Dominick Figueroa, Jose Hernandez Rivera, Fernando Beltramo
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
Matthew Raley, Baljit Gill, Laurie Grier, Steven Conrad
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
James Hungerford, Nancy Baron, Mark Splaingard, Joseph Tobias
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
Kevin S Niimi, Leslie S Lewis, Jeffrey J Fanning
The inability to adequately support a patient on extracorporeal membrane oxygenation (ECMO) due to impaired drainage is not an uncommon occurrence during support. Typically, the causes include hypovolemia, kinks in the circuit, cannula malposition, or inadequate cannula size. In this report we present an uncommon etiology of this problem. A 3-year-old female presented to our hospital in status asthmaticus and pulseless electrical activity (PEA). This was a result of dynamic hyperinflation of the lungs causing physical obstruction of venous return to the heart...
June 2015: Journal of Extra-corporeal Technology
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