Extracorporeal life support for status asthmaticus.

Abstract:

:Status asthmaticus is a life-threatening form of reactive airway disease, refractory to initial control with ordinary medical measures, sometimes requiring mechanical ventilatory assistance. In this report, we describe a patient whose bronchospasm could not be controlled with conventional measures, with severe respiratory acidosis (PaCO2 consistently > 100 mm Hg), who was successfully supported with extracorporeal life support (ECLS). During ECLS, arterial blood gas values rapidly returned to normal, and bronchospasm resolved during the subsequent 24 h. The patient was extubated hours later, and discharged to home 4 days later, neurologically normal. We believe that this represents the first application of this technology to this disease in an adult patient.

journal_name

Chest

journal_title

Chest

authors

Shapiro MB,Kleaveland AC,Bartlett RH

doi

10.1378/chest.103.6.1651

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

1651-4

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)42057-4

journal_volume

103

pub_type

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