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Acute Bronchial Asthma: Indications for Intensive Care

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Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.

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Abstract

Our understanding of the basic mechanisms and hence the treatment of bronchial asthma has greatly improved in recent years, such that most asthmatics are able to sustain a normal active life with simple and safe treatment [1, 2]. Nevertheless the incidence and the severity of asthma continue to increase despite advances in therapy [3], and a rise in fatal or near-fatal asthma has been reported in some Western countries [1, 4]. Although a number of explanations have been put forward, including the excessive use of bronchodilators [5, 6] and environmental factors, the reason for this unexpected increased rate is still unclear. Therefore, an acute attack is still hazardous in asthmatics, and occurs even when their monitoring and treatment have been optimized [7, 8].

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References

  1. Guidelines for the diagnosis and management of asthma. National Institutes of Health (1991) National Institutes of Health, Bethesda, Md.

    Google Scholar 

  2. Higenbottam T, Hay I (1990) Has the treatment of asthma improved? Chest: 98: 706–712

    Article  PubMed  CAS  Google Scholar 

  3. Hanael JL, Barber RG (1998) Critical management of the asthmatic patient. Curr Opin Pulm Med 4: 48–54

    Google Scholar 

  4. Buist AS, Vollmer WM (1990) Reflections on the rise in asthma morbidity and mortality. J Am MedAssoc 264: 1719–1720

    CAS  Google Scholar 

  5. Burrows B, Lebowitz MD (1992) The beta agonists dilemma. N Engl J Med 326: 560–561

    Article  PubMed  CAS  Google Scholar 

  6. Spitzer WO, Suissa S, Ernest P et al (1992) The use of beta agonists and the risk of death and near death from asthma. N Engl J Med 326: 503–506

    Article  Google Scholar 

  7. Saetta M, Thiene G, Crescioli S, et al (1989) Asthma in a young patient with severe bronchial hyper responsiveness but stable peak flow records. Eur Respir J 2: 1008–1012

    PubMed  CAS  Google Scholar 

  8. Pouw EM, Koeter GH, de Monchy JGR, et al (1990) Clinical assessment after a life-threatening attack of asthma: the role of bronchial hyperreactivity. Eur Respir J 3: 861–866

    PubMed  CAS  Google Scholar 

  9. Branthwhite MA (1990) An update on mechanical ventilation for severe acute asthma. Clin Intensive Care 1: 4–6

    Google Scholar 

  10. Armstrong RF, Bullen C, Cohen SL, et al (1990) Critical care algorithms of acute asthma. Clin Intensive Care 1: 46–47

    Google Scholar 

  11. Levy BD, Kitch B, Fanta CH (1998) Medical and ventilatory management of status asthmaticus. Intensive Care Med 24: 105–117

    Article  PubMed  CAS  Google Scholar 

  12. Gattinoni L, Brazzi L, Pesenti A (1991) Extracorporeal carbon dioxide removal in ARDS. In: Marini JJ Roussos C (eds) Update in intensive care and emergency medicine. Ventilatory Failure. Springer Verlag, Berlin Heidelberg New York, pp 308–317

    Google Scholar 

  13. Perret C (1989) Sudden asphyxia in asthma. In: Vincent JL (eds) Update in intensive care and emergency medicine. Springer Verlag, Berlin Heidelberg New York, pp 86–90

    Google Scholar 

  14. Rabbat A, Laaban JP, Boussairi A, Rochemaure J (1998) Hyperlactatemia during acute severe asthma. Intensive Care Med 24: 304–312

    Article  PubMed  CAS  Google Scholar 

  15. Molfino NA, Nannini LJ, Martelliu AN, Slutsky AS (1991) Respiratory arrest in near fatal asthma. N Engl J Med 324: 285–288

    Article  PubMed  CAS  Google Scholar 

  16. Rodriguez-Roisen R, Ballester E, Roca J, et al (1989) Mechanism of hypoxaemia in patients with status asthmaticus requiring mechanical ventilation. Am Rev Respir Dis 139: 732–739

    Google Scholar 

  17. West JB (1988) Respiratory physiology, ventilation, blood flow, and gas exchange. In: Murray J, Nadel J (eds) Textbook of respiratory medicine, vol.1. Saunders. Philadelphia, pp 47–84

    Google Scholar 

  18. Schaeffer EM, Pohlman A, Morgan S, Hall JB (1999) Oxygenation in status asthmaticus improves during ventilation with helium and oxygen. Crit Care Med 27: 2666–2670

    Article  PubMed  CAS  Google Scholar 

  19. Lemos JM de, Carr RR, Shalansky KF, et al (1999) Paralysis in critically ill: intermittent bolus pancuronium compared to continuous infusion. Crit Care Med: 2648–2655

    Google Scholar 

  20. Khadadah ME, Onadeko BO, Mustafa HT, Metwali KE (2000) Clinical feature and outcome of management of severe acute asthma in intensive care unit. Singapore Med J 41: 199–201

    Google Scholar 

  21. Kolbe J, Fergusson W, Vamos M, Garrett J (2000) Case control study of severe life threatening asthma (SLTA) in adults: demografic, health care and management of acute attack. Thorax Dec 55: 1007–1015

    Article  CAS  Google Scholar 

  22. Roussos C, Lakynthinos S (1991) Ventilatory muscle fatigue and failure. In: Update into intensive care and emergency medicine. Springer Verlag, Berlin Heidelberg New York, pp 125–152

    Google Scholar 

  23. Wheatley JR, West S, Cala SJ, Engel LA (1990) The effect of hyperinflation on respiratory muscle work in acute induced asthma. Eur Respir J 3: 625–632

    PubMed  CAS  Google Scholar 

  24. Cormier Y, Lecours R, Legis C (1990) Mechanism of hyperinflation in asthma. Eur Respir J 3: 619–624

    PubMed  CAS  Google Scholar 

  25. Decramer M (1989) Effects of hyperinflation on the respiratory muscles. Eur Respir J 2: 299–302

    PubMed  CAS  Google Scholar 

  26. Saetta M, Di Stefano A, Rosina C, et al (1991) Quantitative structural analysis of peripheral airways and arteries in sudden fatal asthma. Am Rev Respir Dis 143: 138–143

    PubMed  CAS  Google Scholar 

  27. Broseghini C, Brandolese R, Poggi R, et al (1991) Respiratory mechanics during first day of mechanical ventilation in patients with pulmonary edema and chronic airway obstruction. Am Rev Respir Dis 143: 138–143

    Google Scholar 

  28. Gottfried SB, Rossi A, Milic-Emili J (1986) Dynamic hyperinflation, intrinsic PEEP, and mechanically ventilated patients. Intensive Care Dig 5: 30–33

    Google Scholar 

  29. Darioli R, Perret C (1984) Mechanical controlled hypoventilation in status asthmaticus. Am Rev Respir Dis 129: 385–387

    PubMed  CAS  Google Scholar 

  30. Rossi A, Brandolese R, Milic-Emili J, Gottfried SB (1990) The role of PEEP in patients with chronic obstructive pulmonary disease during assisted ventilation. Eur Respir J 3: 818–822

    PubMed  CAS  Google Scholar 

  31. Donner CF, Appendini L, Patessio A, et al (1992) Continuous positive airway pressure (CPAP) improves the efficiency of pressure support mask ventilation with acute respiratory failure. Am Rev Respir Dis 145: 526–530

    Google Scholar 

  32. Eisner MD, Lieu TA, Chi F et al (2001) Beta agonists, inhaled steroids and the risk of intensive care admission for asthma. Eur Respir J 17: 233–240

    Article  PubMed  CAS  Google Scholar 

  33. Lange P (1999) Prognosis of adult asthma. Monaldi Arch Chest Dis 54: 350–352

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Intensive Care Unit, Multidisciplinary Rehabilitation Centre, Padua City Hospital, Padua, Italy

    R. Brandolese

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  1. R. Brandolese
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Editor information

Editors and Affiliations

  1. Department of Clinical Sciences Section of Anaesthesia, Intensive Care and Pain Clinic, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 2002 Springer-Verlag Italia

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Brandolese, R. (2002). Acute Bronchial Asthma: Indications for Intensive Care. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2099-3_22

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  • DOI: https://doi.org/10.1007/978-88-470-2099-3_22

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0176-3

  • Online ISBN: 978-88-470-2099-3

  • eBook Packages: Springer Book Archive

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