Prolonged severe hypercapnia complicating near fatal asthma in a 35-year-old woman.

Abstract:

OBJECTIVE:We describe a patient with a prolonged and severe hypercapnia occurring during an episode of status asthmaticus induced by ophthalmic instillation of carteolol. SETTING:Prehospital Emergency Medical Service and Pulmonary Intensive Care Unit in a university hospital. PATIENT:A 35-year-old female developed an acute asthma attack while at home, which required advanced life support. INTERVENTION:On hospital admission, arterial blood gases revealed a PaCO2 of 208 mmHg. Hypercapnia persisted with a PaCO2 of more than 190 mmHg for 10 h, with pH always less than 7.00. The patient was finally discharged after 26 days without sequelae. CONCLUSION:This case illustrates the cerebral and cardiovascular tolerance of severe and prolonged hypercapnia associated with major acidosis.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Adnet F,Plaisance P,Borron SW,Levy A,Payen D

doi

10.1007/s001340050772

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

1335-8

issue

12

eissn

0342-4642

issn

1432-1238

journal_volume

24

pub_type

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