title: [Helium-sevoflurane association: a rescue treatment in case of acute severe asthma].
abstract: We report the case of a severe acute asthma, which required, after optimal medical therapy, helium and sevoflurane CO-administration after tracheal intubation. The Anesthetic Conserving Device allowed sevoflurane use with intensive care unit's ventilator. The helium-sevoflurane association was maintained during 9 days to decrease the bronchospasm, waiting for the efficiency of an aetiologic treatment. We discuss the suitability of this association to treat severe acute asthma, and its administration modalities.
authors.affiliation: Service de réanimation polyvalente, HIA Legouest, 27, avenue de Plantières, 57998 Metz Armées, France. julien.nadaud@wanadoo.fr
authors.forename: J
authors.initials: J
authors.lastname: Nadaud
authors.forename: C
authors.initials: C
authors.lastname: Landy
authors.forename: T
authors.initials: T
authors.lastname: Steiner
authors.forename: G
authors.initials: G
authors.lastname: Pernod
authors.forename: J C
authors.initials: JC
authors.lastname: Favier
mesh_terms: D000142:Acidosis, Respiratory / Q000188:drug therapy / Q000209:etiology; D000208:Acute Disease; D018685:Anesthetics, Inhalation / Q000008:administration & dosage / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy*; D001986:Bronchial Spasm / Q000188:drug therapy; D004338:Drug Combinations; D005260:Female; D006371:Helium / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D006935:Hypercapnia / Q000097:blood; D007442:Intubation, Intratracheal; D008738:Methyl Ethers / Q000008:administration & dosage / Q000627:therapeutic use*; D008875:Middle Aged; D000077149:Sevoflurane; D012122:Ventilators, Mechanical
chemical_list: D018685:Anesthetics, Inhalation; D004338:Drug Combinations; D008738:Methyl Ethers; D006371:Helium; D000077149:Sevoflurane