Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. In this “Pediatric General Case Challenge,” join your fellow doctors to discuss and answer today’s challenge! Case presentation: A 12-year-old female patient presented to the emergency department with difficulty in breathing. Medical history: The patient had severe persistent asthma and had recorded multiple pediatric intensive care unit (PICU) stays with intubation. Physical examination: The patient was unresponsive.
Further examination revealed minimal air movement as well as inspiratory and expiratory wheezes. Management: Stacked nebulized beta-agonists were given as a part of the treatment plan. The patient was started on high-flow nasal cannula (HFNC) due to desaturation of oxygen and showed no improvement with persistent pain and appeared unresponsive.