Critical Care Time

22. Bronch emergencies with the PulmPEEPS

6 snips
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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ADVICE

Two-Operator Approach

  • In difficult airways, a second operator can prepare the bronchoscope while the first attempts intubation.
  • Communicate clearly and be ready for a surgical airway if necessary.
ANECDOTE

Fresh Tracheostomy Dislodgement

  • A patient with a freshly placed tracheostomy experienced a dislodgement.
  • Prompt intervention was required to manage the airway emergency.
ADVICE

Tracheostomy Replacement

  • Avoid blindly replacing a dislodged fresh tracheostomy tube due to the risk of creating a false lumen.
  • Secure the airway by intubating from above or using a bronchoscope if available.
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