MedBugs: SAQ #39

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Case: Intubated asthmatic

You have just performed an RSI on a patient with acute severe asthma. Shortly after intubation you look up at the monitor and see this capnography trace.

1. What is the MOST CONCERNING cause for this trace? 1 mark

2. List (3) other situations that could give rise to a flat capnography trace. 3 marks

You manage to troubleshoot the problem. The capnograph trace now looks like this.

3. List (2) relevant findings and give an explanation for each. 2 marks

4. Give (6) ventilation parameters for this severe asthmatic and provide a rationale for each. 12 marks

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Case: Intubated asthmatic

1. What is the MOST CONCERNING cause for this trace? 1 mark

2. List (3) other situations that could give rise to a flat capnography trace. 3 marks

3. List (2) relevant findings and give an explanation for each. 2 marks

4. Give (6) ventilation parameters for this severe asthmatic and provide a rationale for each. 12 marks

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