A winter to remember! Extracorporeal membrane oxygenation for life-threatening asthma in children: A case series and review of literature.
Shivanand S MedarKim R DerespinaWilliam A JakobleffMichael H UshayGiles J PeekPublished in: Pediatric pulmonology (2019)
Progressive refractory near-fatal asthma requiring intubation and mechanical ventilation can lead to death. Data on outcomes in children requiring extracorporeal membrane oxygenation (ECMO) support for status asthmaticus is sparse. We describe our experience of three patients in the winter of 2018 to 2019 successfully rescued with ECMO. We also report our novel use of extubation while still being on ECMO support. Awareness and use of ECMO in refractory asthma can help lower the mortality for this very common disease in children. We also review the current literature on the use of ECMO and other extracorporeal therapies in asthma.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- mechanical ventilation
- respiratory failure
- chronic obstructive pulmonary disease
- lung function
- young adults
- allergic rhinitis
- end stage renal disease
- chronic kidney disease
- ejection fraction
- systematic review
- intensive care unit
- newly diagnosed
- type diabetes
- peritoneal dialysis
- multiple sclerosis
- metabolic syndrome
- air pollution
- prognostic factors
- cardiovascular events
- artificial intelligence
- electronic health record
- cardiovascular disease
- adipose tissue
- weight loss