Volume 55, Issue 2 pp. E1-E4
CASE REPORT

A winter to remember! Extracorporeal membrane oxygenation for life-threatening asthma in children: A case series and review of literature

Shivanand S Medar MD

Corresponding Author

Shivanand S Medar MD

Division of Pediatric Critical Care Medicine, Children's Hospital at Montefiore & Albert Einstein College of Medicine, Bronx, New York

Division of Pediatric Cardiology, Children's Hospital at Montefiore & Albert Einstein College of Medicine, Bronx, New York

Correspondence Shivanand S Medar, MD, 3411 Wayne Ave, Suite 808B Bronx, NY 10467.

Email: [email protected]

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Kim R Derespina MD

Kim R Derespina MD

Division of Pediatric Critical Care Medicine, Children's Hospital at Montefiore & Albert Einstein College of Medicine, Bronx, New York

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William A Jakobleff MD

William A Jakobleff MD

Department of Cardiothoracic Surgery, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, New York

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Michael H Ushay MD, PhD

Michael H Ushay MD, PhD

Division of Pediatric Critical Care Medicine, Children's Hospital at Montefiore & Albert Einstein College of Medicine, Bronx, New York

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Giles J Peek MD, FRCS, FFICM

Giles J Peek MD, FRCS, FFICM

Department of Pediatric Cardiothoracic Surgery, Shand's Children's Hospital, University of Florida, Gainsville, Florida

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First published: 20 December 2019
Citations: 8

Abstract

Progressive refractory near-fatal asthma requiring intubation and mechanical ventilation can lead to death. Data on outcomes in children requiring extracorporeal membrane oxygenation (ECMO) support for status asthmaticus is sparse. We describe our experience of three patients in the winter of 2018 to 2019 successfully rescued with ECMO. We also report our novel use of extubation while still being on ECMO support. Awareness and use of ECMO in refractory asthma can help lower the mortality for this very common disease in children. We also review the current literature on the use of ECMO and other extracorporeal therapies in asthma.

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