[Helium-sevoflurane association: a rescue treatment in case of acute severe asthma].
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.
Nadaud
J
J
Service de réanimation polyvalente, HIA Legouest, 27, avenue de Plantières, 57998 Metz Armées, France. julien.nadaud@wanadoo.fr
Landy
C
C
Steiner
T
T
Pernod
G
G
Favier
J C
JC
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
D018685:Anesthetics, Inhalation; D004338:Drug Combinations; D008738:Methyl Ethers; D006371:Helium; D000077149:Sevoflurane