• Magnesium for acute asthma exacerbations
  • using Mg for severe acute asthma showed that peak expiratory flow improved
  • Forced expiratory volume improved by 9.8% predicted
  
  

  Posted 01/30/17 04:40:48 PM by Adam Faye

• • Plateau pressure is what is transmitted to the alveoli. 
  • Auto-peep caused by breath stacking - in order to improve:
    • Sedation
    • Decrease Respiratory Rate
    • Increase Flow Rate
    • Can always disconnect from the vent if very high Peak/Plateau pressures
  
  

  Posted 01/30/17 04:45:49 PM by Adam Faye

• When intubating asthma patients remember may worsen hypotension:
  • Positive Pressure decreases pre-load (also decreases after-load)
  • Sedation drops pre-load
  • Also may be volume down given insensible losses from working hard to breathe
  
  

  Posted 01/30/17 04:51:18 PM by Adam Faye

• ECMO/ECCOR for status asthmaticus:
  • 24 patients with asthma placed on ECMO- 83.8% survived
  
  

  Posted 01/30/17 04:53:20 PM by Adam Faye

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