Mechanical ventilation for children with status asthmaticus.

Respir Care Clin N Am

Pediatric Intensive Care and Emergency Department, Oakland Children's Hospital, Oakland, California 94609, USA.

Published: March 2000

AI Article Synopsis

  • Status asthmaticus is a frequent cause for hospital admissions in children, primarily treatable with a range of medications.
  • Many patients respond positively to treatments like oxygen and beta-agonists, but a small group may experience severe respiratory failure.
  • The article explores asthma's underlying mechanisms and provides insights on ventilator management, along with a brief overview of alternative treatment options.

Article Abstract

Status asthmaticus is the most common diagnosis leading to hospital admission in childhood. Most of these patients respond well to oxygen, steroids, beta-agonists, anticholinergics, and other medications. The few patients who develop respiratory failure from severe status asthmaticus pose many challenges to those supporting them in the intensive care unit. This Article discusses the pathophysiology of asthma and how that relates to appropriate ventilator management. Alternative therapies are briefly discussed.

Download full-text PDF

Source
http://dx.doi.org/10.1016/s1078-5337(05)70063-0DOI Listing

Publication Analysis

Top Keywords

status asthmaticus
12
mechanical ventilation
4
ventilation children
4
children status
4
asthmaticus status
4
asthmaticus common
4
common diagnosis
4
diagnosis leading
4
leading hospital
4
hospital admission
4

Similar Publications

The development of inhaled anesthetics (IAs) has a rich history dating back many centuries. In modern times they have played a pivotal role in anesthesia and critical care by allowing deep sedation during periods of critical illness and surgery. In addition to their sedating effects, they have many systemic effects allowing for therapy beyond surgical anesthesia.

View Article and Find Full Text PDF

Status Asthmaticus: Approaches in Mechanical Ventilation.

Pediatr Crit Care Med

December 2024

Unidad de Paciente Crítico Pediátrico, Departamento de Pediatría, Hospital El Carmen de Maipú, Santiago, Chile.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the practice of withholding oral nutrition from children with critical asthma receiving continuous albuterol in a pediatric ICU, aiming to determine its safety and effects on respiratory failure.
  • A retrospective analysis was conducted with 36 cases (children receiving nutrition) and 72 matched controls (children not receiving nutrition), focusing on outcomes like aspiration-related respiratory failure and the duration of albuterol treatment.
  • Findings indicated no respiratory failure events in either group, with those receiving nutrition having longer albuterol treatment durations but similar outcomes in terms of length of stay and mortality, suggesting that withholding nutrition may not be necessary.
View Article and Find Full Text PDF

Background: Current knowledge of the impact of socioeconomic factors on the risk of admission to the pediatric intensive care unit (PICU) for asthma is limited. Using composite measures of social vulnerability-Social Vulnerability Index (SVI) and Child Opportunity Index (COI) 2.0-we compared patients admitted for status asthmaticus to the PICU and pediatric ward at Children's Hospital Los Angeles (CHLA).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!