Key result
ECMO shows potential as a support strategy for adults with life-threatening status asthmaticus.
Why the study?
Status asthmaticus is a relatively rare indication for venovenous ECMO that has not been examined in prospective multicenter studies, making it valuable for providers to better understand its role.
Case Report
Provides a case-based discussion on the role and unique considerations of ECMO and extracorporeal CO2 removal in managing adults with life-threatening status asthmaticus.
May guide ECMO decisions in refractory status asthmaticus; leaves open need for prospective trials.
Status asthmaticus is refractory bronchospasm that can result in hypercarbia, altered mental status, respiratory failure, hypoxemia, and death. The care of patients with status asthmaticus often requires care in the ICU and, in rare circumstances, consideration of extracorporeal membrane oxygenation (ECMO) or extracorporeal CO 2 removal support. Compared with ARDS, status asthmaticus is a relatively rare indication for venovenous ECMO and, to our knowledge, its use has not been examined in prospective multicenter studies. As ECMO becomes more widely available, it may be valuable for providers to understand better its role in the management of status asthmaticus. In this edition of "How I Do It," we provide a case example of life-threatening status asthmaticus to discuss unique considerations in the care of these patients with this complex disease.
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Belok et al. (2024) conducted a case report in Status asthmaticus. Extracorporeal membrane oxygenation (ECMO) was evaluated. Extracorporeal membrane oxygenation (ECMO) is discussed as a potential support strategy for adults with life-threatening status asthmaticus using a case example.
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