• Am J Emerg Med · Apr 2018

    Case Reports

    Nebulized ketamine to avoid mechanical ventilation in a pediatric patient with severe asthma exacerbation.

    • Abdelghafour Elkoundi, Aziza Bentalha, Alae El Koraichi, and El Kettani Salma Ech-Cherif SE Pediatric Intensive Care Unit, Children Hospital of Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed V, Rabat, Morocco.
    • Pediatric Intensive Care Unit, Children Hospital of Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed V, Rabat, Morocco. Electronic address: abd.el.koundi@gmail.com.
    • Am J Emerg Med. 2018 Apr 1; 36 (4): 734.e3-734.e4.

    AbstractAsthma is a major cause of morbidity and mortality despite advances in outpatient treatment. Sometimes, children fail to respond to standard treatment and can potentially require mechanical ventilation. We describe a case of a 26-month-old girl with a severe asthma exacerbation successfully managed by ketamine administration via nebulization route that permitted to avoid mechanical ventilation. Nebulized ketamine might be a reasonable option to avoid mechanical ventilation in children who fail to respond to standard treatment of severe asthma exacerbation.Copyright © 2018 Elsevier Inc. All rights reserved.

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