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Status Asthmaticus

A severe asthma attack that does not respond to standard bronchodilator therapy poses a life-threatening risk.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Status Asthmaticus?

Status asthmaticus is a severe asthma attack that progresses toward respiratory failure and does not respond adequately to short-acting beta-2 agonists (salbutamol) and systemic corticosteroids.

It is characterized by severe bronchospasm, mucus plugs, and air trapping. The patient cannot complete sentences and tries to breathe in a sitting position.

If not treated rapidly, fatigue of the respiratory muscles, hypercapnia, and cardiopulmonary arrest may develop.

Symptoms

Severe shortness of breath and inability to complete sentences
Breathing in a sitting (tripod) position
Marked wheezing or silent chest
Tachypnea (>30/min), tachycardia (>120/min)
Cyanosis and altered consciousness
Paradoxical breathing and use of accessory respiratory muscles

Risk Factors

Previous intensive care admission or intubation history
Frequent uncontrolled asthma attacks
Systemic corticosteroid dependence
Medication non-compliance
Viral upper respiratory infection
Allergens, smoking, and environmental triggers

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call emergency services immediately for shortness of breath unresponsive to bronchodilator drug
  • A patient who cannot complete sentences should go to the emergency department
  • Bluish discoloration on the lips and altered consciousness are life-threatening signs
  • Silent chest (loss of wheezing) is a sign of worsening

Treatment Methods

01
High-flow oxygen support
02
Continuous nebulized salbutamol and ipratropium
03
Systemic corticosteroid (oral or intravenous)
04
Intravenous magnesium sulfate
05
Heliox, ketamine, non-invasive ventilation in resistant cases
06
Intubation and mechanical ventilation in intensive care if needed

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.