Asthma Exacerbation Case Study 2 - Treatment (Asthma Flare / Attack)
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- เผยแพร่เมื่อ 10 ส.ค. 2022
- Acute asthma exacerbation treatment with illustrations by pulmonologist Dr. Seheult. See all Dr. Seheult's videos at: www.medcram.com/?Y...
(This video was updated on August 10, 2022)
Roger Seheult, MD is the co-founder and lead professor at www.medcram.com/?Y...
He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine.
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#asthma #ventilation #casestudy
Visit us at medcram.com for more lectures on medical topics and continuing medical education units.
All treatable herbs
Ventilators kill no one has studied adequately how to pump air into lungs
People die from too strong slump action
Neonatal deaths are huge due to ventilators in infants
So great to have these reminders, thanks!
Living in this smog filled cesspool called southern california has made my asthma exponentially worse
Yes, plus winds makes it worse.
That was really great.
So the "moral of the story" for an asthmatic is to try to be less anxious during a flare-up - and to take measures to avoid those things that trigger asthma. Each asthmatic should learn what his triggers are, and to take the medication his physician recommends at the right times and the right dosages.
Yes. Patient education is important.
Thank you sir
Thank you Dr. S. after watching your video part one I started trying to breathe out more. I have had to take steroids for this and can't stand them. Yet, they usually decrease the inflammation and open it up. This is a bit too technical for me but it was interesting. Thanks again.
Pre bipap/intubation heli-ox(helium and oxygen mix) sometimes helps with air movement. Post intubation anesthesia vent/gases sometimes helps to relax airways when other measures are not working.
Wow wow ❤
There are a few parts of status asthmatics that are topics for advanced management. For regions in which ECMO availability is scarce, it's not always an option to ship these patients off. Then the question becomes how much driving pressure is 'tolerable', what pH is 'bearable', and whether the auto peep can be overcome sufficiently by increasing fluid volume. It gets individualized to the bedside numbers. In rural medicine I've had to allow peaks of 90+, pHs of 7.0, and paralytics, but with patience we've always been able to get the person through the storm without exception.
Yes. It must be nerve racking.
Ty❤
Good video! Can we get some more monkeypox content? I feel like with it being over 10k cases in the US now it might be time for an update considering how much information is flying around out there. Thanks again!
Coming next
@@Medcram
This helps me understand my asthma exasperation. I have has ongoing bronchitis and asthma that is being exasperated by people I cannot control smoking around me. I am stuck but trying to control it. I was just emergency referred to a lung and respiratory specialist.😢 I hope they can help. I wake up a couple of times nightly coughing not able to breathe. 😢 it's pretty terrifying. My attacks sometimes last up to 15 minutes.
Make sure you check for down feathers in your pillows and comforter, pets in your bedroom, sulfites in processed food, and allergies. GERD may also play a role.
Watch this video as well:
th-cam.com/video/JdgSAVIi9OQ/w-d-xo.htmlsi=PTXfHIscjWLagU8x
Can you cover AERD/Samters Triad please?
What do you think about using breathing tools to increase the lung capacity? You can do it 5-10 min per day.
The only difference between hand bagging and a mechanical ventilator is accuracy and you don’t have a machine telling you how high your pressures are and how big or small volume you’re giving the patient. A ventilator is simply a $30,000 manual resuscitator that alarms when you give volumes, pressure or minute ventilation higher or lower than what you set in the alarms.
The only difference???...oh really??? How about during Transport when you don't allways get your choice of conditions and equipment?
@@MarkShinnick My point was you can do anything on the vent that you can do with an ambu bag. If you have to bag a patient, the only thing you’re doing is giving larger volumes and much higher pressures, possibly damaging to the lungs, numbers that you would be shocked to see if measured on the vent. During transport you set modes on the vent or if you’re bagging just go easy. That bag is 1.5 - 2 liters.
@@Idiotsincarshere This is off-topic, but your point rings true for bagging desating pts that are on high oxygen and pressure requirements. You can "bag" a pt on the vent. You take them off the circuit and lose any possible recruitment you may have had. But this happens all the time.
Great lecture. What do you do with a patient who has a right paralyzed diaphragm with severe asthma with a complication of vocal cord disfunction. I live this nightmare but they started to use respiratory epi along with everything.
Speech therapy for the VC dysfunction. Escalate Ics, labs, lama, singular for asthma. Need to be followed by a HCP.
@@Medcram Thank you, the VA is refusing escalate the lcs. I will try to push it. Thank you for your time. The channel is awesome!!!
Could there be correlation of asthma exacerbation and post-COVID effects on our respiratory system?
Many viruses can cause post infection asthma exacerbation. I speak from experience.
By increasing flow rate you will be also increasing peak inspiratory pressure.
Not too much of a big deal. Plateau pressure more important.
@@Medcram What ranges would you deem permissive for PIP and Pplat in your example pt?
See lost asthma cure. Harvard study. John G. Harter MD and A. Mark Novitch MD
Stop wearing the old fashion tie statement !
Dimentional analysis doesn't work on your equation you cannot got from L to s units without canceling the L and adding the s. Stick to being Dr and not mathematician.
Check you math again 😉It works perfectly. Both L and minutes cancel leaving seconds (s).
@@Medcram Your right, my bad, I'm blind and missed the s!
@@TehPwnerer no problem I’ve done worse.