| A 10-year-old child with status asthmaticus, hypercapnia and a unilateral dilated pupil. | |
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MedLine Citation:
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PMID: 16324036 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article reports the case of a 10-year-old child with an exacerbation of asthma requiring mechanical ventilation. His immediate course was complicated by significantly elevated arterial CO(2) tensions and a unilateral dilated pupil. A computed tomography scan of his brain failed to demonstrate any evidence of intracranial hypertension or cerebral edema, and he went on to make an uncomplicated recovery, with no evidence of neurological sequelae. The most likely diagnosis appeared to be local contamination with ipratropium when he was receiving frequent nebulizers prior to mechanical ventilation. Similar cases reported in the literature are reviewed, with a discussion of clinical management, implications of permissive hypercapnia and neurological complications in ventilating asthmatic patients and the importance of safe drug handling by staff members. |
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Authors:
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Andrew Udy |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Paediatric anaesthesia Volume: 15 ISSN: 1155-5645 ISO Abbreviation: Paediatr Anaesth Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2005-12-05 Completed Date: 2006-03-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
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Languages: eng Pagination: 1120-3 Citation Subset: IM |
Affiliation:
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Clinical Fellow, Children's Intensive Care Unit, Newcastle General Hospital, Newcastle-upon-Tyne, UK. andrew@udy.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Albuterol
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administration & dosage Bronchodilator Agents / administration & dosage Child Humans Hypercapnia / complications* Ipratropium / administration & dosage Male Mydriasis / complications* Nebulizers and Vaporizers Respiration, Artificial Status Asthmaticus / complications, physiopathology, therapy* |
| Chemical | |
Reg. No./Substance:
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0/Bronchodilator Agents; 18559-94-9/Albuterol; 60205-81-4/Ipratropium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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