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A winter to remember! Extracorporeal membrane oxygenation for life‐threatening asthma in children: A case series and review of literature
Author(s) -
Medar Shivanand S,
Derespina Kim R,
Jakobleff William A,
Ushay Michael H,
Peek Giles J
Publication year - 2020
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.24616
Subject(s) - extracorporeal membrane oxygenation , medicine , refractory (planetary science) , asthma , intubation , intensive care medicine , life support , extracorporeal , life saving , mechanical ventilation , asthma attack , rescue therapy , ventilation (architecture) , anesthesia , surgery , medical emergency , mechanical engineering , physics , astrobiology , engineering
Progressive refractory near‐fatal asthma requiring intubation and mechanical ventilation can lead to death. Data on outcomes in children requiring extracorporeal membrane oxygenation (ECMO) support for status asthmaticus is sparse. We describe our experience of three patients in the winter of 2018 to 2019 successfully rescued with ECMO. We also report our novel use of extubation while still being on ECMO support. Awareness and use of ECMO in refractory asthma can help lower the mortality for this very common disease in children. We also review the current literature on the use of ECMO and other extracorporeal therapies in asthma.