Indian Journal of Respiratory Care

IJRC Email      Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  13 (2024)
Volume  12 (2023)
Volume  11 (2022)
Volume  10 (2021)
Volume  9 (2020)
Volume  8 (2019)
Volume  7 (2018)
Volume  6 (2017)
Volume  5 (2016)
Volume  4 (2015)
Volume  3 (2014)
Volume  2 (2013)
Volume  1 (2012)
Related articles

VOLUME 6 , ISSUE 2 ( July-December, 2017 ) > List of Articles

CASE REPORT

Weaning in Asthmatics: A Finely Supervised Action

Sunil Kumar Garg, Pragya Garg

Keywords : Asthma ventilator strategy, bronchospasm, severe asthma, ventilatory weaning

Citation Information : Garg SK, Garg P. Weaning in Asthmatics: A Finely Supervised Action. Indian J Respir Care 2017; 6 (2):835-836.

DOI: 10.4103/ijrc.ijrc_14_17

License: CC BY-NC-SA 3.0

Published Online: 02-12-2022

Copyright Statement:  Copyright © 2017; Indian Journal of Respiratory Care.


Abstract

Respiratory failure from severe asthma is a potentially reversible, life-threatening condition. Since asthma involves bronchospasm and mucous plugging, it causes increased pressure difference between peak and plateau pressure. The increased pressure difference between the two can be due to ventilatory strategy of asthma itself which involves increased inspiratory flow rate and square flow pattern to increase expiratory time. It is important that clinicians managing such patients understand the use of mechanical ventilation since wrong interpretation may lead to inappropriate decision making during weaning.

HTML PDF Share
  1. Pendergraft TB, Stanford RH, Beasley R, Stempel DA, Roberts C, McLaughlin T. Rates and characteristics of Intensive Care Unit admissions and intubations among asthma-related hospitalizations. Ann Allergy Asthma Immunol 2004;93:29-35.
  2. Reddy VG. Auto-PEEP: How to detect and how to prevent – A review. Middle East J Anaesthesiol 2005;18:293-312.
  3. Lougheed MD, Fisher T, O’Donnell DE. Dynamic hyperinflation during bronchoconstriction in asthma: Implications for symptom perception. Chest 2006;130:1072-81.
  4. Environmental Protection Agency. Asthma Facts. Available from: http:// www.epa.gov/asthma/pdfs/asthma_fact_sheet_en.pdf. [Last accessed on 2017 May 30].
  5. McFadden ER Jr. Acute severe asthma. Am J Respir Crit Care Med 2003;168:740-59.
  6. Shapiro JM. Intensive care management of status asthmaticus. Chest 2001;120:1439-41.
  7. Mayo P, Radeos MS. The severe asthmatic: Intubated and difficult to ventilate. In: Brenner B, editor. Emergency Asthma. New York: Marcel-Dekker; 1999. p. 469-87.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.