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Asthma Mangement on the Ventilator


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Ventilating an asthmatic is one of my favorite patients to ventilate. I have educated so many people at the bedside. People focus on the RR and VT. Nobody pays attention to MV and Flow waveforms. Just my preference, I enjoy pressure control in these patients. I will titrate PEEP to assist with stenting and to help fight intrinsic PEEP (I know some data doesn't support it). Aim for a rate of 8-12 and A volume of around 7-8cc/kg. I tell people to keep the pH above 7.2, and we are golden. Asthmatics are also the best to cannulate to ECMO

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