Management of Status Asthmaticus with Sevoflurane in the ICU: case report

This case report describes a 66-year-old female patient with a 20-year history of asthma and type 2 diabetes mellitus, who was admitted for scheduled extracapsular cataract extraction. During recovery, she developed status asthmaticus, characterized by severe dyspnea, hypoxemia, and increased respiratory effort. Initial management included bronchodilators, systemic corticosteroids, and ketamine, but the patient remained unresponsive. The introduction of sevoflurane provided significant bronchodilatory effects, contributing to stabilization and early extubation. This case underscores the importance of timely interventions and the potential role of sevoflurane in managing refractory asthma exacerbations.