Management of the Intubated Asthmatic Patient

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.
