CriticalCare Lounge: Angioedema

In this CriticalCare Lounge episode, we dive deep into managing airway emergencies, focusing on upper airway pathologies such as angioedema. The discussion encompasses vital diagnostic factors, treatment modalities including FFP and TXA, and procedural methods like awake fiberoptic intubation.
Moreover, we analyze diverse scenarios related to addressing upper airway complications in medical crises, highlighting the importance of personalized patient care, ventilation techniques, and the pivotal role of customized airway management strategies. Tune in for insights into optimizing emergency care in critical situations!
00:00 Kicking Off the Critical Care Lounge
00:50 Introducing Today's Topic: Angioedema and Upper Airway Pathology
01:11 Diving Deep into Angioedema: Case Studies and Clinical Insights
04:20 Understanding Anaphylaxis vs. Angioedema: Symptoms and Treatment Approaches
09:00 Navigating Treatment Options for Angioedema
11:30 The Role of Medications in Managing Angioedema
16:52 Strategies for Airway Management in Angioedema Cases
21:49 Leveraging Expertise and Collaboration in Critical Airway Situations
23:54 The Importance of Teamwork in Emergency Situations
25:13 Preparing for Awake Fiberoptic Intubation
25:30 Navigating Difficult Airway Management
33:30 Post-Intubation Care: Analgesia, Sedation, and Paralysis
37:15 Extubation Strategies and Challenges
40:09 Reintubation Rates and Clinical Decision-Making
41:51 Concluding Thoughts and Q&A Session
#criticalcare , #emergencymedicine , #AirwayEmergencies, #UpperAirwayPathologies, #Angioedema, #DiagnosticConsiderations, #FFP, #TXA, #ProceduralTechniques, #AwakeFiberOpticIntubation, #medicalemergencies , #IndividualizedCare, #VentilationApproaches, #TailoredManagement, #healthcareprofessionals

[@drdannegoita]

There is Icatibant - bradikinine receptor inhibitor - but it costs a whole lot.

[@Lopitdog]

I find Benadryl to be pretty tricky in this setting because they always get so sleepy and I can't tell if they are getting worse or not. Any pearls on this? I feel like I have been forced into a corner of intubating these because I can't always tell if they are getting worse or just the Benadryl.

[@CriticalCareNow]

Great thought but I think their level of agitation would outpace the Benadryl

[@robertolarios7561]

For extubation we always let Anesthesia and ENT about our plan, we perform VL to take a look of the Larynx while still sedated. Some Md like to use the device called: Aintree cook device made by Arrow Company

[@CriticalCareNow]

Thanks for this. I’ve tried leaving catheters in. Very uncomfortable for patients and leads to gagging. While good on paper haven’t found it helpful

[@libyaup1205]

❤❤

[@CriticalCareNow]

Thanks