High frequency percussive ventilation as a rescue mode for refractory status asthmaticus – a case study
| Autor: | T Glen Bouder, David Albecker, B Franklin Lewis |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Exacerbation Severe asthma Status Asthmaticus High-Frequency Ventilation Severity of Illness Index Refractory Administration Inhalation medicine Humans Immunology and Allergy Albuterol Asthma Medical treatment business.industry medicine.disease Bronchodilator Agents Acute severe asthma Anesthesia Pediatrics Perinatology and Child Health Neuromuscular Blockade Breathing Arterial blood Female Blood Gas Analysis business |
| Zdroj: | Journal of Asthma. 58:340-343 |
| ISSN: | 1532-4303 0277-0903 |
| DOI: | 10.1080/02770903.2019.1687714 |
| Popis: | A severe asthma exacerbation is called status asthmaticus when symptoms worsen despite conventional medical treatment in the hospital. If arterial blood gas (ABG) values deteriorate and this is accompanied by respiratory muscle fatigue, the patient will require mechanical ventilation. However, mechanical ventilation of the severe asthmatic presents difficult challenges.We report on High Frequency Percussive Ventilation (HFPV) used along with continuous inhaled albuterol and neuromuscular blockade, as rescue therapy for a case of acute, severe asthma that was refractory to conventional treatment and conventional mechanical ventilation.This patient's arterial pH was 6.97 when we initiated HFPV, but ten hours post-intubation her ABG values normalized. She was successfully extubated six days later and discharged from ICU the following day.This case describes the successful use of HFPV for a status asthmaticus patient failing conventional mechanical ventilation. We have anecdotal evidence of other medical centers using HFPV for these patients but larger studies are needed to verify its efficacy. |
| Databáze: | OpenAIRE |
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