Cases/

Case 12 — Sudden loss of volume

VCintermediate00:00Score 100
VCintermediate8 min

Case 12 — Sudden loss of volume

Handover

Status asthmaticus. Wheeze, RR 20, Ti 1.1 s. The last expiratory hold showed auto-PEEP 16. MAP 50, neck veins up. The bag is hard to squeeze.

Uncorrected hypoxemia, auto-PEEP shock, tension, or abdominal compartment progresses to pre-arrest, then a fail. Read the scalars before you turn a knob.

Goals

  • · Bronchodilator given
  • · RR ≤ 14
  • · Auto-PEEP ≤ 6
  • · MAP ≥ 64