Nebulized ketamine to avoid mechanical ventilation in a pediatric patient with severe asthma exacerbation

被引:5
作者
Elkoundi, Abdelghafour [1 ]
Bentalha, Aziza [1 ]
El Koraichi, Alae [1 ]
El Kettani, Salma Ech-Cherif [1 ]
机构
[1] Univ Mohammed 5, Children Hosp Rabat, Fac Med & Pharm Rabat, Pediat Intens Care Unit, Rabat, Morocco
关键词
Children; Mechanical ventilation; Nebulized ketamine; Severe asthma exacerbation;
D O I
10.1016/j.ajem.2018.01.027
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Asthma is a major cause of morbidity and mortality despite advances in outpatient treatment. Sometimes, children fail to respond to standard treatment and can potentially require mechanical ventilation. We describe a case of a 26-month-old girl with a severe asthma exacerbation successfully managed by ketamine administration via nebulization route that permitted to avoid mechanical ventilation. Nebulized ketamine might be a reasonable option to avoid mechanical ventilation in children who fail to respond to standard treatment of severe asthma exacerbation. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:734.e3 / 734.e4
页数:2
相关论文
共 37 条
  • [11] Trends in Pediatric Patient-Ventilator Asynchrony During Invasive Mechanical Ventilation
    Blokpoel, Robert G. T.
    Burgerhof, Johannes G. M.
    Markhorst, Dick G.
    Kneyber, Martin C. J.
    PEDIATRIC CRITICAL CARE MEDICINE, 2021, 22 (11) : 993 - 997
  • [12] Nebulized heparin for patients under mechanical ventilation: an individual patient data meta-analysis
    Glas, Gerie J.
    Neto, Ary Serpa
    Horn, Janneke
    Cochran, Amalia
    Dixon, Barry
    Elamin, Elamin M.
    Faraklas, Iris
    Dissanaike, Sharmila
    Miller, Andrew C.
    Schultz, Marcus J.
    ANNALS OF INTENSIVE CARE, 2016, 6
  • [13] Analysis of risk factors for severe acute pediatric asthma exacerbation in Quanzhou, Southern China
    Chen, Qionghua
    Zheng, Jingyang
    Lin, Chunyan
    Zheng, Tianwen
    Hong, Qiaoya
    JOURNAL OF ASTHMA, 2025,
  • [14] Nebulized heparin for patients under mechanical ventilation: an individual patient data meta-analysis
    Gerie J. Glas
    Ary Serpa Neto
    Janneke Horn
    Amalia Cochran
    Barry Dixon
    Elamin M. Elamin
    Iris Faraklas
    Sharmila Dissanaike
    Andrew C. Miller
    Marcus J. Schultz
    Annals of Intensive Care, 6
  • [15] Mechanical Ventilation Strategies for the Patient with Severe Obstructive Lung Disease
    Mosier, Jarrod M.
    Hypes, Cameron D.
    EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2019, 37 (03) : 445 - +
  • [16] Risk factors and outcome in patients with severe acute asthma requiring mechanical ventilation
    Onadeko, BO
    Khadadah, ME
    Mustafa, HT
    Metwali, KEH
    MEDICAL PRINCIPLES AND PRACTICE, 1999, 8 (03) : 189 - 195
  • [17] Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis
    Whittemore, Paul
    Macfarlane, Laura
    Herbert, Anna
    Farrant, John
    BMJ CASE REPORTS, 2020, 13 (08)
  • [18] Pediatric Simulation of Intrinsic PEEP and Patient-Ventilator Trigger Asynchrony During Mechanical Ventilation
    Nickel, Amanda J.
    Panitch, Howard B.
    McDonough, Joseph M.
    Chotzoglou, Etze
    Allen, Julian L.
    RESPIRATORY CARE, 2022, 67 (11) : 1405 - 1412
  • [19] Serum Procalcitonin as a Biomarker for the Prediction of Bacterial Exacerbation and Mortality in Severe COPD Exacerbations Requiring Mechanical Ventilation
    Ergan, Begum
    Sahin, Ahmet Altay
    Topeli, Arzu
    RESPIRATION, 2016, 91 (04) : 316 - 324
  • [20] Non-invasive management of severe subcutaneous emphysema in a pediatric asthma exacerbation: a case report and review
    Amal H. Aljohani
    Hamdi Alsufiani
    Ghousia Ahmed
    International Journal of Emergency Medicine, 17 (1)