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Therapeutic options for severe, refractory status asthmaticus: inhalational anaesthetic agents, extracorporeal membrane oxygenation and helium/oxygen ventilation
Author(s) -
TOBIAS JOSEPH,
GARRETT JEREMY
Publication year - 1997
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1997.d01-33.x
Subject(s) - extracorporeal membrane oxygenation , medicine , anesthesia , mechanical ventilation , refractory (planetary science) , intensive care medicine , oxygenation , ventilation (architecture) , inhalation , materials science , mechanical engineering , engineering , composite material
Despite improvements in supportive care, the mortality and morbidity of asthma remain constant. The risks and incidence of morbidity related to barotrauma remain high in patients that require mechanical ventilation. The authors present three alternative strategies including the inhalation of anaesthetic agents, helium/oxygen ventilation, and extracorporeal membrane oxygenation which may be beneficial when ‘conventional therapies’ fail in the intubated patient with status asthmaticus.