Critical Care Time 22. Bronch emergencies with the PulmPEEPS
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Apr 22, 2024 Dive into bronchial emergencies with PulmPEEPS Dr. Dave Furfaro and Dr. Kristina Montemayor on Critical Care Time. Learn about managing airway bleeds, trach emergencies, and bronchoscopy techniques for critical care scenarios. Discover the importance of teamwork and quick decision-making in high-pressure situations.
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Awake Intubation for Difficult Airways
- Prepare for difficult airways with an awake intubation using a bronchoscope.
- Have a plan and extra hands available for these high-stress situations.
Bronchoscope Access and Approach
- Always know the location of the bronchoscope on the airway cart for quick access.
- Consider nasal or oral approach in advance, patient anatomy, and potential complications.
Topicalization Techniques
- Topicalize the airway with lidocaine using gargles, nebulizers, or atomizers/sprays before bronchoscopy.
- Be mindful of the maximum lidocaine dose (8 mg/kg) to avoid toxicity.