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Figures
Fig. 1
Tidal volumes during sevoflurane administration.
Fig. 2
Peak pressures during sevoflurane administration.
Fig. 3
pH during sevoflurane administration.
Fig. 4
Partial pressures of carbon dioxide during sevoflurane administration.
Fig. 5
End-tidal carbon dioxide measurements during sevoflurane administration.
Status asthmaticus is both a common and dangerous cause of acute dyspnea in the emergency department (ED) setting. Although most cases respond favorably to standard treatment, there are rare cases in which therapy beyond traditional treatment is needed. One of these treatment modalities includes inhalational anesthesia. We present a case in which inhaled sevoflurane was initiated out of the ED for a life-threatening asthma exacerbation refractory to conventional treatment. To our knowledge, this is only the second case to report the use of inhaled anesthetics initiated out of the ED for status asthmaticus and is the first report of its kind to thoroughly detail the respiratory response noted while inhalation anesthesia was being implemented.
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