Join Dr. Emily Damuth, an Assistant Professor of Medicine and Emergency Medicine, as she shares her insights on mechanical ventilation tailored for severe asthma patients. She highlights the urgency of monitoring and decision-making in emergency settings and the vital role of timely interventions. The conversation dives into managing ventilator settings, understanding arterial blood gases, and the complexities of airway dynamics. Later, Dr. Damuth reflects on the importance of empathy and teamwork in medicine, emphasizing the balance between professional passion and personal life.
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Importance of Asthma Ventilation
Asthma patients with severe exacerbations often decompensate rapidly and unpredictably.
Understanding mechanical ventilation strategies in asthma helps improve safety for all ventilated patients.
volunteer_activism ADVICE
Intubation Timing and Vigilance
Recognize failure and don't hesitate to intubate when necessary in status asthmaticus.
Frequently reassess patients as deterioration can occur suddenly.
volunteer_activism ADVICE
Intubation Pearls for Asthma
During intubation, use rapid sequence intubation for efficiency with experienced providers.
Avoid vigorous bagging to prevent worsening air trapping.
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In 'Good Inside,' Dr. Becky Kennedy shares her parenting philosophy, which focuses on building strong relationships with children rather than merely shaping their behavior. The book critiques traditional parenting methods like reward charts and time-outs, which fail to address children's complex emotional needs. Dr. Kennedy provides actionable strategies and troubleshooting for various parenting challenges, such as sibling rivalry, separation anxiety, and tantrums. Her approach helps parents move from uncertainty and self-blame to confidence and sturdy leadership, emphasizing the importance of compassion and understanding in parenting.
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Laura Hillenbrand
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In this episode, Dr. Sergio Zanotti focuses on the nuances of mechanical ventilation in patients with severe asthma. Previously, he explored the medical management of acute asthma exacerbations. Today, he takes a deeper dive into ventilatory strategies tailored to this high-risk population. He's joined by Dr. Emily Damuth, a dual-trained emergency medicine and critical care physician. Dr. Damuth is an Assistant Professor of Medicine and Emergency Medicine at Cooper Medical School of Rowan University and practices clinically in both the Emergency Department and Intensive Care Unit at Cooper University Hospital in Camden, New Jersey. She is also an Assistant Program Director for the Critical Care Medicine Fellowship and is actively involved in the ECMO program. A passionate educator, she teaches mechanical ventilation through lectures and simulation and has received multiple teaching awards for her contributions to medical education.
Additional resources:
Links:
Management of Life-Threatening Asthma. O. Garner, et al. CHEST 2022; https://pubmed.ncbi.nlm.nih.gov/35218742/
Extracorporeal Membrane Oxygenation for Refractory Asthma Exacerbations With Respiratory Failure. J. Zakrajsek, et al. CHEST 2023: https://pubmed.ncbi.nlm.nih.gov/36191634/
Ventilator Graphics and Respiratory Mechanics in the Patient With Obstructive Lung Disease. R. Dhand. Respiratory Care 2005: https://pubmed.ncbi.nlm.nih.gov/15691394/
Books mentioned in this episode:
Seabiscuit: An American Legend. By Laura Hillenbrand: https://bit.ly/3EY24pJ
Pisto: The Life of Pete Maravich. By Mark Kriegel: https://bit.ly/3GIarq6
Good Inside: A Practical Guide to Resilient Parenting Prioritizing Connection Over Correction. By Becky Kennedy: https://bit.ly/4iSTnes