Non-invasive mechanical ventilation in asthma attacks

Ventilación mecánica no invasiva en crisis asmática

Published 2015-07-20

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Vol. 27 No. 3 (2015): Edición Especial: Asma
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Topics review
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Non-invasive mechanical ventilation in asthma attacks.
rev. colomb. neumol. [Internet]. 2015 Jul. 20 [cited 2024 Nov. 21];27(3). Disponible en: https://doi.org/10.30789/rcneumologia.v27.n3.2015.86
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https://doi.org/10.30789/rcneumologia.v27.n3.2015.86
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Eder Cáceres, MD.
Fundación Neumológica Colombiana. Fundación Cardioinfantil. Instituto de Cardiología. Bogotá, Colombia.
    Fabio Andrés Varón V., MD., MSc.
    Fundación Neumológica Colombiana. Fundación Cardioinfantil. Instituto de Cardiología. Bogotá, Colombia.
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      Eder Cáceres, MD.,

      Intensivista, Fundación Neumológica Colombiana. Fundación Cardioinfantil. Instituto de Cardiología. Bogotá, Colombia.

      Fabio Andrés Varón V., MD., MSc.,

      Jefe Unidad de Cuidado Intensivo-Programa de Trasplante pulmonar, Fundación Neumológica Colombiana. Fundación Cardioinfantil. Instituto de Cardiología. Bogotá, Colombia.
      “Asthma attack” is a term that comprises a series of conditions, with various degrees of severity, that can occur in patients with asthma. Their common ground is the presence of muscular fatigue due to an exaggerated increase of respiratory work, which puts the patient at risk for complications, including cardiopulmonary arrest. In patients with severe or moderate exacerbations of asthma, the need for invasive or noninvasive ventilatory support will depend on clinical judgment and response to pharmacologic treatment, clinical and gasometric signs of muscular fatigue, and alteration of consciousness. This review describes the physiological concepts of the patient with severe exacerbation of asthma who probably requires invasive or non-invasive ventilatory support, its goals and control parameters.

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