Just a quick survey:
In a case of severe asthma presentation when patient is not YET a definite
intubation, but close and is moving VERY little air if any and the
continuous nubeulisers applied are just blowing on his face (assume steroids
have been dealt with), do you
1. Nebulise continuously until patient either begins to improve or gets too
exhausted or intubated for another reason?
2. Give IV Aminophylline (assume not had it before)?
3. Use IV Salbutamol to get some into the system despite him not moving any
resps?
4. Use IV/S-cut Epi for same reason as 3.?
Or any other method?
Especially interested in anyone how has seen something RECENT in
favour/against option 3 of IV salbutamol.
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