27. Management of Acute Life-Threatening Asthma Exacerbations in the Intensive Care Unit
Management of Acute Life-Threatening Asthma Exacerbations in the Intensive Care Unit
CEUs: 2 Clinical
Average read time: 95 minutes.
Short Summary of the Article:
The article titled “Management of Acute Life-Threatening Asthma Exacerbations in the Intensive Care Unit” explores different therapeutic strategies to manage severe asthma exacerbations in critically ill patients. It emphasizes various pharmacological and non-pharmacological treatments, such as bronchodilators, corticosteroids, non-invasive ventilation, and advanced interventions like extracorporeal membrane oxygenation (ECMO). The review also highlights the importance of individualized care, and while standard guidelines exist, the article calls for additional research to enhance the understanding of ICU-specific asthma management.
Learning OutcomesÂ
Upon completion of this activity, you should have an understanding of:
- The various pharmacological and non-pharmacological treatments available for managing acute life-threatening asthma exacerbations in the ICU, including bronchodilators, corticosteroids, and non-invasive ventilation.
- The potential role of advanced interventions such as ECMO for asthma patients who do not respond to conventional treatments.
- The significance of a structured approach to managing severe asthma in the ICU, including identifying patients at high risk for complications and implementing timely interventions.
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Earned Point(s): 0 of 0, (0) What is one of the most important non-pharmacological treatments for severe asthma in the ICU? 9 True or False: The article recommends ECMO as the first-line treatment for all severe asthma cases. 14 Which bronchodilator is commonly used in the management of acute asthma exacerbations? 11 What is the primary goal of corticosteroid use in asthma management in the ICU? 12 True or False: The use of corticosteroids is controversial and not widely accepted for asthma management in the ICU. 12 What is the most appropriate strategy for patients with severe airflow obstruction who develop dynamic hyperinflation? 9 Which pharmacological agent is often used as an adjunct for sedation and bronchospasm relief in severe asthma? 9 What percentage of asthma patients admitted to the ICU required invasive mechanical ventilation in a large study between 2000 and 2008? 2 True or False: The article suggests that the evidence for using ECMO in asthma patients is well established and universally accepted. 15 What is the primary function of bronchodilators like salbutamol in the treatment of asthma exacerbations? 12 What is a major complication associated with mechanical ventilation in asthma patients? 8 Why is ECMO considered a last-resort therapy for patients with severe asthma exacerbations? 16 What therapeutic option is primarily used for airway decompression in patients with asthma exacerbations? 9 What is the most common initial treatment approach for asthma exacerbations in the ICU? 12 Which intervention is suggested in the article to manage refractory asthma cases in critical care? 14
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