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Chapter 13 - Difficult Asthma

Published online by Cambridge University Press:  17 December 2021

By
Christopher Hands  and
Andrew Nyman
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

A 12-year-old girl, weighing 35 kg, was referred to your service at 22:00. She had presented with an acute exacerbation of asthma and despite emergency management had deteriorated. She had been diagnosed with asthma 4 months previously when she had developed a nocturnal cough. She noticed breathlessness at school whilst doing exercise and since, had seen her GP and was using prescribed regular beclomethasone and as required salbutamol.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 70 - 73
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

BTS/SIGN Asthma guideline: www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/.Google Scholar
Durward, A, Forte, V, Shemie, S. ‘Resolution of mucus plugging and atelectasis after intratracheal rhDNase therapy in a mechanically ventilated child with refractory status asthmaticus’. Crit Care Med. 2000;28(2):560–2.CrossRefGoogle Scholar
Stather, D, Stewart, T. ‘Clinical review: mechanical ventilation in severe asthma’. Crit Care 2005;9:581–7.CrossRefGoogle ScholarPubMed
Wong, J, Lee, J, Turner, D, Rehder, K. ‘A review of the use of adjunctive therapies in severe acute asthma exacerbation in critically ill children’. Expert Rev Respir Med 2014;8(4):423–41.CrossRefGoogle ScholarPubMed

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