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.
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http://dx.doi.org/10.1016/s1078-5337(05)70063-0 | DOI Listing |
Intensive Care Med
January 2025
Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, Omiya-ku, Saitama, Japan.
J Clin Med
December 2024
Department of Anesthesiology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
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 PDFPediatr Crit Care Med
December 2024
Unidad de Paciente Crítico Pediátrico, Departamento de Pediatría, Hospital El Carmen de Maipú, Santiago, Chile.
Pediatr Gastroenterol Hepatol Nutr
November 2024
Division of Pediatric Critical Care Medicine, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Pediatr Allergy Immunol
November 2024
Children's Hospital Los Angeles, Los Angeles, California, USA.
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).
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