A case of near fatal asthma: The role of ECMO as rescue therapy

Alzeer, Abdulaziz H.; Otair, Hadil A Al; Khurshid, Syed Moazzum; Badrawy, Sherif El; Bakir, Bakir M.

doi:10.4103/1817-1737.152461

Cited by 18 publications

(12 citation statements)

References 8 publications

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“…Hence, an aggressive management approach and continuous monitoring are mandatory. [ 219 ] The following steps are recommended for further management:…”

Section: Methodsmentioning

confidence: 99%

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

et al. 2016

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This is an updated guideline for the diagnosis and management of asthma, developed by the Saudi Initiative for Asthma (SINA) group, a subsidiary of the Saudi Thoracic Society. The main objective of SINA is to have guidelines that are up to date, simple to understand and easy to use by nonasthma specialists, including primary care and general practice physicians. SINA approach is mainly based on symptom control and assessment of risk as it is the ultimate goal of treatment. The new SINA guidelines include updates of acute and chronic asthma management, with more emphasis on the use of asthma control in the management of asthma in adults and children, inclusion of a new medication appendix, and keeping consistency on the management at different age groups. The section on asthma in children is rewritten and expanded where the approach is stratified based on the age. The guidelines are constructed based on the available evidence, local literature, and the current situation in Saudi Arabia. There is also an emphasis on patient–doctor partnership in the management that also includes a self-management plan.

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“…Hence, an aggressive management approach and continuous monitoring are mandatory. [ 219 ] The following steps are recommended for further management:…”

Section: Methodsmentioning

confidence: 99%

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

et al. 2016

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“…Hence, an aggressive management approach and continuous monitoring are mandatory. [245] The following steps are recommended for further management: Consult ICU service. Intubation setting should be readily availableAdequate oxygen flow to keep saturation ≥92%[225]Deliver continuous nebulized salbutamol at a dose of 10–15 mg with ipratropium bromide at a dose of 1.5 mg over 1 h (Evidence A).…”

Section: Management Of Acute Asthma In Adults and Adolescentsmentioning

confidence: 99%

“…Hence, an aggressive management approach and continuous monitoring are mandatory. [245] The following steps are recommended for further management:…”

Section: Management Of Acute Asthma In Adults and Adolescentsmentioning

confidence: 99%

The Saudi Initiative for Asthma - 2019 Update: Guidelines for the diagnosis and management of asthma in adults and children

et al. 2019

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This is the fourth version of the updated guidelines for the diagnosis and management of asthma, developed by the Saudi Initiative for Asthma (SINA) group, a subsidiary of the Saudi Thoracic Society. The main objective of the SINA is to have guidelines that are up to date, simple to understand, and easy to use by healthcare workers dealing with asthma patients. To facilitate achieving the goals of asthma management, the SINA panel approach is mainly based on the assessment of symptom control and risk for both adults and children. The approach to asthma management is now more aligned for different age groups. The guidelines have focused more on personalized approaches reflecting better understanding of disease heterogeneity with integration of recommendations related to biologic agents, evidence-based updates on treatment, and role of immunotherapy in management. The medication appendix has also been updated with the addition of recent evidence, new indications for existing medication, and new medications. The guidelines are constructed based on the available evidence, local literature, and current situation at national and regional levels. There is also an emphasis on patient–doctor partnership in the management that also includes a self-management plan.

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“…Extracorporeal membrane oxygenation (ECMO) is an invasive therapy, in which oxygenation and carbon dioxide removal are performed through an artificial membrane. Although evidence based on clinical trials for the use of ECMO in asthmatic patients is lacking [277,278], there is growing evidence on the subject, supporting the use of ECLS for patients receiving mechanical ventilation due to an asthmatic exacerbation. A 2009 review by Mikkelsen et al has demonstrated that, when ECLS is used for status asthmaticus, it correlates with better outcomes in comparison to its use for other causes of respiratory failure [279].…”

Section: Pharmacological and Non-pharmacological Managementmentioning

confidence: 99%

Acute Severe Asthma in Adolescent and Adult Patients: Current Perspectives on Assessment and Management

Kostakou

Kaniaris

Filiou

et al. 2019

JCM

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Asthma is a chronic airway inflammatory disease that is associated with variable expiratory flow, variable respiratory symptoms, and exacerbations which sometimes require hospitalization or may be fatal. It is not only patients with severe and poorly controlled asthma that are at risk for an acute severe exacerbation, but this has also been observed in patients with otherwise mild or moderate asthma. This review discusses current aspects on the pathogenesis and pathophysiology of acute severe asthma exacerbations and provides the current perspectives on the management of acute severe asthma attacks in the emergency department and the intensive care unit.

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A case of near fatal asthma: The role of ECMO as rescue therapy

Cited by 18 publications

References 8 publications

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

The Saudi Initiative for Asthma - 2016 update: Guidelines for the diagnosis and management of asthma in adults and children

The Saudi Initiative for Asthma - 2019 Update: Guidelines for the diagnosis and management of asthma in adults and children

Acute Severe Asthma in Adolescent and Adult Patients: Current Perspectives on Assessment and Management

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