ArticleCase reports in critical care2026
Successful Management of Status Asthmaticus via Veno-Venous ECMO: Extubation Prior to Decannulation-A Case Report.
Article in Case reports in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Successful Management of Status Asthmaticus via Veno-Venous ECMO: Extubation Prior to Decannulation-A Case Report.Case reports in critical care · 2026Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The use of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has risen exponentially since the COVID pandemic. VV-ECMO has been utilized successfully to manage patients in status asthmaticus who have failed to respond adequately to conventional therapeutic interventions and mechanical ventilatory support. However, clear guidelines on the management of mechanical ventilation for these patients while on VV-ECMO support appear to be lacking. Case Presentation: A 52-year-old male was placed on emergent VV-ECMO for status asthmaticus after developing worsening hypercarbic respiratory failure despite mechanical ventilation and aggressive bronchodilator therapy. Once he was stabilized on VV-ECMO, there was a dilemma in management priorities-extubate the patient while keeping full VV-ECMO support versus working to aggressively wean VV-ECMO support while the patient is intubated. Ultimately, the decision was made to extubate the patient about 60 h postcannulation. Postexubation, however, he was in respiratory distress with stridor and worsening bronchospasm and required maximum sweep on the VV-ECMO in addition to increased respiratory support via noninvasive ventilation (NIV). Ultimately, he turned the corner, made progressive improvement, was weaned from VV-ECMO support, and was decannulated 7 days after cannulation. Conclusion: Extubating a patient placed on VV-ECMO for status asthmaticus is not a straightforward decision. One needs to consider the management priorities, anticipate the potential problems, and understand the implications of early extubation.
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