Face-mask CPAP and sodium bicarbonate infusion in acute, severe asthma and metabolic acidosis.
A patient with a history of previous mechanical ventilation for asthma was hospitalized with acute, severe asthma; metabolic acidosis; and hyperlactatemia. In addition to standard therapy, she was successfully treated with face-mask CPAP and IV sodium bicarbonate infusion. This therapy may help prevent mechanical ventilation in some patients with acute, severe asthma and lactic acidosis.
Mansel
J K
JK
Department of Medicine, University of Mississippi School of Medicine, Jackson.
Stogner
S W
SW
Norman
J R
JR
D000140:Acidosis, Lactic / Q000628:therapy*; D000328:Adult; D001249:Asthma / Q000628:therapy*; D001639:Bicarbonates / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D011175:Positive-Pressure Respiration / Q000379:methods*; D012964:Sodium / Q000627:therapeutic use*; D017693:Sodium Bicarbonate
D001639:Bicarbonates; D017693:Sodium Bicarbonate; D012964:Sodium