Published
My colleagues reported this whole incident was approximately 2+ hours. I will also add that I think our intensivist is top notch in educaiton and practice and he was having a difficult time with airway management. Gwenith, interesting we used a rural back up plan in our busy metro ED and everyone thought it must be the most 'current' technology. i am going to be sure to pass this on to my intensivist. thanks.!!
EastCoast
273 Posts
As an FYI and a point of interest...
We recently had a 34 y.o male who presented to our ED with swollen lips and feeling like he had airway closure. He quickly progressed to full anaphylaxis which was not reversable with the standard epi/steriods. This went out and he then became quickly bronchospastic. Unintubatable and a real nightmare. One of our ICU guys gave him KETAMINE. I guess he had read this somewhere at some point in time and it hit him in the middle of this disaster (his favorite expression is 'i'd rather be lucky than good'). Anyhow, the patient gets ketamine and intubation bronchospasm subsides and I think it is worth passing along as something to keep in mind if this ever happens in your ED. I am not sure how frequent a hot pepper allergy is (this was the causitvie ingestant) but i think it is worth mentioning as food for thought (no pun intended).