Management of Diabetic Ketoacidosis
Learning Objectives
Recall clinical features of severe pediatric diabetic ketoacidosis that increase risk for airway compromise or need for intubation
Explain how metabolic acidosis, cerebral edema, and altered mental status in DKA influence airway protection and ventilation strategies
Apply focused airway assessment and monitoring, including mental status and CO₂ trends, in critically ill children with DKA
Analyze changes in neurologic status, respiratory effort, and gas exchange to determine when escalation to airway support or intubation is indicated
Evaluate airway and intubation preparedness in the management of severe DKA to minimize secondary brain injury and cardiopulmonary instability
Author(s)
Michael Agus, MD
Division Chief, Division of Medical Critical Care; Endowed Chair in Critical Care; Medical Director, Medical Intensive Care Unit and Intermediate Care Program; Co-Medical Director, Biocontainment Unit
Professor of Pediatrics, Harvard Medical School
Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School
Citation
Agus M, Wolbrink TA. Management of Diabetic Ketoacidosis. 9/2012. Online video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3132/management-of-diabetic-ketoacidosis.