Critical Care Mailbag: The Crashing Asthmatic

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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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tom f. -

very cool. thanks swami and scott

Roberto L. -

Excellent topic and wonderful reviews. Scott I think personally you are a wonderful speaker and I follow in all your websites, but I think you speak very fast so the foreigners like me have to repeat listening your recordings. Sorry, is just a personal comment. Anyhow thanks to everybody for making a difference in treating better our ICU and ED patients.

Atheer Z. -

Hello
Good talk
Any chance you could provide the link to the 3MG RCT, I only found an abstract
Also I had a 57 year old with crashing asthma few years ago, after maximal therapy and resolving his respiratory distress he suddenly became apnoic and I had to intubate him which went all smooth
My explanation was resp m. and diaphragm exhaustion but I would like you guys to give me your opinion as well
Could the hyperoxymia I provided this patient has a role in his apnoe, i.e. the brain telling the muscle to stop because oxygen is high

Regards

Anand S. -

3Mg: https://pubmed.ncbi.nlm.nih.gov/24731521/
Hard to answer the question without more info but I doubt the O2 was the issue. That's described in COPD (Haldane effect) but I think the real role is unclear: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682248/

Atheer Z. -

Thanks Swami

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