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

Egyptian Journal of Bronchology volume 11, pages 66–69 (2017)Cite this article

Abstract

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 abovementioned 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.

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Authors and Affiliations

  1. Department of Pulmonary Critical Care & Sleep Medicine, Fortis Hospitals, , Vasant Kunj, New Delhi, India

    Animesh Ray MBBS, MD(Med), DNB(Med), MNAMS, MRCP(UK), EDICI (DM), Vivek Nangia, Rajat Chatterji & Navin Dalal

Authors
  1. Animesh Ray MBBS, MD(Med), DNB(Med), MNAMS, MRCP(UK), EDICI
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  2. Vivek Nangia
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  3. Rajat Chatterji
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  4. Navin Dalal
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Corresponding author

Correspondence to Animesh Ray MBBS, MD(Med), DNB(Med), MNAMS, MRCP(UK), EDICI.

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Ray, A., Nangia, V., Chatterji, R. et al. Bronchoscopy as a salvage therapy in a mechanically ventilated status asthmaticus patient: A case report. Egypt J Bronchol 11, 66–69 (2017). https://doi.org/10.4103/1687-8426.198985

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  • DOI: https://doi.org/10.4103/1687-8426.198985

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