1 Anaesthesiology, Department of - Juliane Marie Centre, Juliane Marie Centre, Rigshospitalet, The Capital Region of Denmark2 Institut for Klinisk Medicin
We present a case of severe lactic acidosis due to exacerbation of asthma in presence of normal tissue perfusion and oxygenation in a 35-year-old woman with poorly controlled asthma. After admission, she was treated continuously with inhalation of salbutamol (a beta-agonist) resulting in lactic acidosis, which was misinterpreted as treatment failure. The lactic acidosis reversed on discontinuation of the inhalation therapy. Although lactic acidosis is a rare complication to inhalation of beta-agonists, it is important for the clinicians to recognize this.
Ugeskrift for Læger [online], 2013, Vol 175, Issue 3, p. 112-4