CASE REPORT
Year : 2017  |  Volume : 11  |  Issue : 1  |  Page : 66-69

Bronchoscopy as a salvage therapy in a mechanically ventilated status asthmaticus patient: A case report


Department of Pulmonary Critical Care & Sleep MedicineFortis Hospitals, Vasant Kunj, New Delhi, India

Correspondence Address:
Animesh Ray
Fortis Hospitals, Vasant Kunj, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-8426.198985

Rights and Permissions

A 23-year-old male patient presented with acute exacerbation of asthma with type 2 respiratory failure. He was mechanically ventilated and started on intensive medical therapy including nebulization with β2 agonists and antimuscarinic drugs, steroids, antibiotics and magnesium sulphate as per standard protocol. As there was no response to the above-mentioned line of treatment, other nonstandard therapies such as intramuscular adrenaline and ketamine were also tried but to no avail. After a meticulous literature search, bronchoscopy was planned to look for any alternative diagnoses as well as to perform bronchial toileting. The patient showed dramatic improvement after the procedure, was subsequently extubated and discharged in stable condition. This case essays the significant role of bronchoscopy in refractory status asthmaticus patients, discusses the pathophysiological mechanisms addressed by bronchoscopic toileting and, furthermore, reviews the contemporary literature for evidence in its favour.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1538    
    Printed45    
    Emailed0    
    PDF Downloaded103    
    Comments [Add]    

Recommend this journal