Abstract

TOMICIC, Vinko; CATALIOTI, Frank  and  MENDOZA, Sheyla. Extracorporeal CO₂ Removal in a Patient with Status Asthmaticus who Evolved with Barotrauma. Rev. am. med. respir. [online]. 2022, vol.22, n.4, pp.309-314. ISSN 1852-236X.  http://dx.doi.org/10.56538/ramr.ofsx8871.

A 20-year-old male with known asthma arrived at the emergency department in the first hospital with story of shortness of breath 1 day before admission. He suddenly became tachycardic, tachypneic and cyanotic, for which he was intubated. In the tertiary care general hospital ICU, he showed severe bronchospasm, high airway pressures during mechanical ventilation (MV) and severe hypoperfusion. He received crystalloids and norepinephrine. On the third day, he developed subcutaneous emphysema, pneumo thorax and hypercapnia with mixed acidosis. We decided to use ultra-protective me chanical ventilation concomitant with Novalung®. With this strategy, we could reduce airway pressures, PEEPi, resistive mechanical power and improve hypercapnia and acidosis. The patient stayed for 10 days in Novalung® and showed good evolution. He was later extubated and discharged of ICU, leaving the hospital in good conditions.

Keywords : Status Asthmaticus; Ventilator-Induced Lung Injury; Extracorporeal circulation; Barotrauma.

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