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Management of the Intubated Asthmatic Patient

In this video, Dr. Gerhard Wolf and Craig Smallwood review important steps in managing and improving ventilation in an intubated asthmatic patient.

Released:

November 1, 2018

Audience:

Physicians, Respiratory Therapists, Paramedics

Learning Objectives
  • Recall indications for intubation in pediatric patients with severe asthma or status asthmaticus

  • Explain key ventilatory principles in the intubated asthmatic patient, including auto‑PEEP, expiratory time, and permissive hypercapnia

  • Apply initial ventilator setup and adjustment strategies to minimize air trapping and barotrauma in intubated asthmatic patients

  • Analyze ventilator waveforms, pressures, and blood gases to guide ongoing management of hypercarbia and dynamic hyperinflation

  • Evaluate readiness for liberation from paralysis, transition to spontaneous breathing, and safe extubation in recovering asthmatic patients

Author(s)

Craig Smallwood, PhD, RRT

Division of Critical Care Medicine, Department of Anesthesiology, Perioperative and Pain Medicine | Boston Children's Hospital, 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


Gerhard Wolf, MD

Ludwig-Maximilians-University 



Citation

Wolf G, Smallwood C, Wolbrink TA. Management of the Intubated Asthmatic Patient. 11/2018. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3301/management-of-the-intubated-asthmatic-patient.

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