Life-Threatening Asthma

[@jakepotter3868]

This post has perfect timing because I’m doing a paper on life-threatening asthma right now! Thank you!

[@CriticalCareNow]

Glad you enjoyed it

[@joshmcgoo]

Sick asthma/copd patients are scary. Great video

[@CriticalCareNow]

Thanks. I appreciate you

[@paanmelaka]

thank you

[@oliverolea9766]

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

[@CriticalCareNow]

You just gave a master class on resuscitating the asthmatic. Bravo

[@Sibtain_pulmcrit_tz]

Great talk. Lots of useful tips!

[@CriticalCareNow]

Appreciate that

[@rachelshemtov3363]

Great lecture. A classic

[@orenkrimchansky]

Thanks bro. Great great talk.

[@CriticalCareNow]

Thanks!

[@akimbo5u]

Just had to place 2 patients with asthma on ECMO over the past week! Super scary indeed!

[@CriticalCareNow]

ECMO is amazing for these patients when you can’t ventilate

[@hossammustafa3146]

Very useful talk. thank you. The Epi dose here, is it the same we use during a code ?

[@chaimasalatvx4007]

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

[@hondapilot]

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 ?

[@drdannegoita]

We have parenteral salbutamol (albuterol) in Romania. I should ask: Why try epinephrine i.v. when we can give salbutamol i.v. ? Just asking.

[@Bindhya.maharjan]

Sir, How long can we allow peak airway pressure of near 60 ? Or decrease the limit as early as possible?

[@giacomodeluca5993]

I did not understand the first part of the code -> disconnect. Can you explain?

[@CriticalCareNow]

Look up dynamic hyperinflation for more info

[@Rebecca-zr3lu]

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. 😊

[@RearViEwmirror-3]

🎉🎉

[@CriticalCareNow]

Thank you

[@libyaup1205]

❤❤❤❤❤❤❤

[@CriticalCareNow]

Grateful