Great talk. Good point on the epi drip. Other key points - I have used theophylline drip as an intervention to avoid intubation. I also like to get baseline lung sliding after X-ray so I know right away if patient goes south if there is a pneumo And yes the most impt settings on limit of pressure alarm and resp rate. I set my alarm limit to 70 or 80 put the rate to 10 and then get plateau. If plateau is good I go up on the rate in increments of 2. So i am titrating ventilation to lung compliance. All of this is on the first 5 minutes of intubation. Patient is still paralyzed from the roc rsi I just have them. And yes. When I doconnect we disconnect for 6-7 seconds with like 2 people pressing on the chest
Regarding epinephrine, how are you administering it: IM, SC, IV, drip ?. Also if on continuous albuterol neb, what if any is there a time limit on how long ?
Blessings in an abundance of the faith. I salute you. 😘🙏Grace and peace be upon and unto you and to this place. God bless you. 🤍Thank you. Will you believe and receive Jesus Christ as your LORD and personal saviour??? I do. 😊
This post has perfect timing because I’m doing a paper on life-threatening asthma right now! Thank you!
Glad you enjoyed it
Sick asthma/copd patients are scary. Great video
Thanks. I appreciate you
Great talk. Good point on the epi drip. Other key points - I have used theophylline drip as an intervention to avoid intubation. I also like to get baseline lung sliding after X-ray so I know right away if patient goes south if there is a pneumo And yes the most impt settings on limit of pressure alarm and resp rate. I set my alarm limit to 70 or 80 put the rate to 10 and then get plateau. If plateau is good I go up on the rate in increments of 2. So i am titrating ventilation to lung compliance. All of this is on the first 5 minutes of intubation. Patient is still paralyzed from the roc rsi I just have them. And yes. When I doconnect we disconnect for 6-7 seconds with like 2 people pressing on the chest
You just gave a master class on resuscitating the asthmatic. Bravo
Great talk. Lots of useful tips!
Appreciate that
Great lecture. A classic
thank you
Thanks bro. Great great talk.
Thanks!
Just had to place 2 patients with asthma on ECMO over the past week! Super scary indeed!
ECMO is amazing for these patients when you can’t ventilate
Very useful talk. thank you. The Epi dose here, is it the same we use during a code ?
Are we against Versed gtt?
Giving peep counters beathing out? Isn't that the biggest paradox of the century?
I've been always taught to peep to cancel out autopeep
Regarding epinephrine, how are you administering it: IM, SC, IV, drip ?. Also if on continuous albuterol neb, what if any is there a time limit on how long ?
We have parenteral salbutamol (albuterol) in Romania. I should ask: Why try epinephrine i.v. when we can give salbutamol i.v. ? Just asking.
🎉🎉
Thank you
Sir, How long can we allow peak airway pressure of near 60 ? Or decrease the limit as early as possible?
I did not understand the first part of the code -> disconnect. Can you explain?
Look up dynamic hyperinflation for more info
❤❤❤❤❤❤❤
Grateful
Blessings in an abundance of the faith. I salute you. 😘🙏Grace and peace be upon and unto you and to this place. God bless you. 🤍Thank you. Will you believe and receive Jesus Christ as your LORD and personal saviour??? I do. 😊