Japanese

Inhalation anesthetic therapy for status asthrnaticus Tohru Ide 1 , Takeshi Numai 2 , Takayuki Matsumae 2 , Noriyuki Itoh 2 , Teruyoshi Noguchi 2 1Department of Anesthesiology, Numazu City Hospital 2Department of Anesthesiology, Chiba Emergency Medical Center Keyword: 喘息重積発作(status asthmatics) , 吸入麻酔療法(inhalation anestetic therapy) pp.441-444
Published Date 1990/5/15
DOI https://doi.org/10.11477/mf.1404900141
  • Abstract
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Status asthmatics is characterized pathologically by bronchial smooth muscle spasm, and mucous plug-ging of the small airways. Clinically, it is character-ized by the disturbance of gas exchange. In severe cases, unresponsive to standard therapy (including oxygen, epinephrine, aminophylline and steroids, artificial ventilation, tracheobroncial lavage and in-halation), anesthetic therapy shoud be started without delay. Inhalation anesthetics, halothane or ether, have potent bronchodilating properties which facilitate the removal of mucous plugging.

We reported nine cases with status asthmatics treated by inhalation anesthetic therapy. Halothane (0.5~3.0%) was used in all cases, ether (1.5~3.0ml/kg) was used in five cases. The duration of anesthesia was 0.5 to 13.5 hours. In three halo-thane anesthesia cases, blood pressure was reduced before there was improvement in wheezing, so we were forced to change halothane to ether. In all cases, the symptoms of status asthmatics were improved, but two patients died due to other complications.

We recommended the following method, viz that halothane be administered at first, and be changed to ether in order to maintain circulatory movement.


Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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