title: [Severe acute asthma: isoflurane administration via AnaConDa™, is it safe?].
abstract: Standard treatments against severe acute asthma can be insufficient and need salvation treatments, such as isoflurane delivery. These treatments have not been much assessed and could lead to unrecognized side-effects. We report the case of a young man who suffered from intracranial hypertension associated with severe hypercapnia during the delivery of isoflurane via the system AnaConDa™ or Anaesthetic Conserving Device™ (ACD) (Sedama Medical). The rising of PaCO(2) appears to be linked to an ACD-dependent increase in the dead space.
authors.affiliation: Service de réanimation médicale, CHU la Milétrie, 2, rue de la Milétrie 86000 Poitiers, France. mchaillan@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Chaillan
authors.forename: J
authors.initials: J
authors.lastname: Badin
authors.forename: T
authors.initials: T
authors.lastname: Kerforne
authors.forename: J
authors.initials: J
authors.lastname: Voultoury
authors.forename: M
authors.initials: M
authors.lastname: Pinsard
mesh_terms: D000208:Acute Disease; D000776:Anesthesiology / Q000295:instrumentation; D018685:Anesthetics, Inhalation / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use*; D001249:Asthma / Q000188:drug therapy*; D002245:Carbon Dioxide / Q000097:blood; D006801:Humans; D006935:Hypercapnia / Q000139:chemically induced*; D019586:Intracranial Hypertension / Q000139:chemically induced*; D007530:Isoflurane / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use*; D008297:Male; D013224:Status Asthmaticus; D055815:Young Adult
chemical_list: D018685:Anesthetics, Inhalation; D002245:Carbon Dioxide; D007530:Isoflurane