Great video of breathing pattern in severe acidosis.
Be worried if you have to intubate someone like this. Any apnea will make CO2
and pH ![Pfeil nach unten ⬇️](https://abs.twimg.com/emoji/v2/72x72/2b07.png)
Also, near impossible to match minute ventilation of someone like this who is very actively breathing in and out.
#FOAMed
#FOAMcc https://twitter.com/grepmeded/status/1306608128256077824
Be worried if you have to intubate someone like this. Any apnea will make CO2
![Pfeil nach oben ⬆️](https://abs.twimg.com/emoji/v2/72x72/2b06.png)
![Pfeil nach unten ⬇️](https://abs.twimg.com/emoji/v2/72x72/2b07.png)
Also, near impossible to match minute ventilation of someone like this who is very actively breathing in and out.
#FOAMed
#FOAMcc https://twitter.com/grepmeded/status/1306608128256077824
If intubation unavoidable
Minimize apnea time during induction, BVM, or ketamine only in select case
ETCO2 helps, try to match pre tube ETCO2 to post tube ETCO2. Get a blood gas to correlate
PaCO2 target~serum bicarb + 15 mm Hg
Most will tolerate RR 30/min (if no obstruction)
Minimize apnea time during induction, BVM, or ketamine only in select case
ETCO2 helps, try to match pre tube ETCO2 to post tube ETCO2. Get a blood gas to correlate
PaCO2 target~serum bicarb + 15 mm Hg
Most will tolerate RR 30/min (if no obstruction)
Have vasopressors hanging, these tend to get unstable
Use of sodium bicarb peri-intubation is controversial here with no good studies.
Aggressively correct underlying cause. The ventilator is only supportive.
Use of sodium bicarb peri-intubation is controversial here with no good studies.
Aggressively correct underlying cause. The ventilator is only supportive.