American Journal of Emergency Medicine
Volume 13, Issue 2 , Pages 164-167, March 1995

Status asthmaticus complicated by atelectasis in a child

From the Department of Emergency Medicine, School of Medicine, Kanazawa University, Kanazawa, Japan

Received 1 July 1994; accepted 1 July 1994.

Abstract 

A case of an 11-year-old boy who was admitted for severe status asthmaticus complicated by extensive atelectasis is reported. Atelectasis involved all left lobes and the right upper lobe of the lung. Although the patient was refractory to maximal medical therapy and continued to deteriorate after intubation, he responded dramatically to the administration of isoflurane. Atelectasis was reduced immediately after fiberoptic bronchial lavage and the use of high frequency ventilation, with a marked improvement in blood gases. Isoflurane provided sedation during prolonged mechanical ventilation without significant adverse effects, aiding the care of this pediatric patient who ultimately recovered.

Keywords:  Status asthmaticus, atelectasis, isoflurane, fiberoptic bronchial lavage, high frequency ventilation

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PII: 0735-6757(95)90085-3

American Journal of Emergency Medicine
Volume 13, Issue 2 , Pages 164-167, March 1995

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