Resistant status asthmaticus in children.
Use of halothane anesthesia for treating respiratory failure caused by status asthmaticus in children is highly controversial. Previous reports suggest that bronchodilation occurs within minutes of administration. This report describes the case of a child who received five and a half hours of halothane in conjunction with isoproterenol and theophylline to reverse respiratory failure. Halothane did not significantly improve ventilation, and it was associated with significant hemodynamic complications. The use of newer beta-2-agonists and anticholinergics is discussed.
DeNicola
L K
LK
Division of Pediatric Critical Care Medicine, University of Florida Health Science Center, Jacksonville.
Aboudan
K
K
D000628:Aminophylline / Q000627:therapeutic use; D002245:Carbon Dioxide / Q000097:blood; D002648:Child; D005260:Female; D006221:Halothane / Q000627:therapeutic use*; D006801:Humans; D007545:Isoproterenol / Q000627:therapeutic use; D010100:Oxygen / Q000097:blood; D012131:Respiratory Insufficiency / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D013224:Status Asthmaticus / Q000150:complications*
D002245:Carbon Dioxide; D000628:Aminophylline; D007545:Isoproterenol; D010100:Oxygen; D006221:Halothane