XXXX in the ICU.

@entity1 @entity565 @entity3124 @entity148
@entity3124 represents the most severe subset of @entity565 exacerbations, and the critical @entity565 is an umbrella term for life-threatening @entity565 , status asthmaticus, and near-fatal @entity565 . According to the 2007 National Asthma Education and Prevention Program guidelines, a life-threatening @entity565 exacerbation is marked by an inability to speak, a reduced peak expiratory flow rate of <25 % of a @entity1 's personal best, and a failed response to frequent bronchodilator administration and intravenous steroids. Almost all critical @entity565 cases require emergency care, and most cases require hospitalization, often in an intensive care unit. Among asthmatics, those with the critical @entity565 are difficult to manage and there is little room for error. @entity1 with the critical @entity565 are prone to complications, they utilize immense resources, and they incite @entity148 in many care providers. Managing this syndrome is anything but routine, and it requires attention, alacrity, and accuracy. The specific management strategies of adults with the critical @entity565 in the hospital with a focus on intensive care are discussed. Topics include the initial assessment for @entity3124 , initial ventilation management, hemodynamic issues, novel diagnostic tools and interventions, and common pitfalls. We highlight the use of critical care ultrasound, and we provide practical guidelines on how to manage deteriorating @entity1 such as those with pneumothoraces. When standard @entity565 management fails, we provide experience-driven recommendations coupled with available evidence to guide the care team through advanced treatment. Though we do not discuss medications in detail, we highlight recent advances.
