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Management of Status Asthmaticus

  • Jacob Scott
  • Ryan HadleyEmail author
Chapter

Abstract

Care of patients with life-threatening asthma in the intensive care unit (ICU) is challenging. Due to alterations in airway physiology, standard ventilation strategies cannot be employed. Management of patients with status asthmaticus, especially when requiring invasive mechanical ventilation, is requisite knowledge for the intensivist. In this chapter we outline the standard care that should be provided to patients with life-threatening asthma in the ICU, which includes a critique of available evidence and a review of pertinent physiologic changes. Additionally, we review salvage therapies, and their evidence or lack thereof, for patients failing typical treatment.

Keywords

Life-threatening asthma Status asthmaticus Mechanical ventilation Invasive mechanical ventilation (IMV) Critical care Intensive care unit (ICU) Asthma 

Supplementary material

Video 23.1

Lung point (From Doerschug et al. [18]. The Annals of the American Thoracic Society is an official journal of the American Thoracic Society. Republished with permission of the American Thoracic Society. Copyright © 2015 American Thoracic Society) (MP4 4901 kb)

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Pulmonary and Critical Care MedicineSpectrum HealthGrand RapidsUSA

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