RAGEback: Weingart and co on Asthma
This RAGEback includes commentary and reaction to the RAGE Session Three discussion of severe life-threatening acute asthma. It features comments from Mary Shue on THAM, Greg Miller on lignocaine and someone called Scott Weingart (anyone heard of him?) on non-invasive ventilation.
- Podcast | Play in new window
- Subscribe| Apple Podcasts | Android |
Here’s some stuff on lignocaine (a fairly evidence free zone!):
- BestBets: Lignocaine as a pretreatment to Rapid Sequence Induction of patients with Status Asthmaticus
- Maslow AD, Regan MM, Israel E, Darvish A, Mehrez M, Boughton R, Loring SH. Inhaled albuterol, but not intravenous lidocaine, protects against intubation-induced bronchoconstriction in asthma. Anesthesiology. 2000 Nov;93(5):1198-204. PMID: 11046206.
- More recently though, this paper suggested some beneficial effects on bronchoconstriction post-intubation: Adamzik M, Groeben H, Farahani R, Lehmann N, Peters J. Intravenous lidocaine after tracheal intubation mitigates bronchoconstriction in patients with asthma. Anesth Analg. 2007 Jan;104(1):168-72. PMID: 17179265.
Some stuff by Scott Weingart on Emcrit.org relevant to this discussion:
- EMCrit Podcast 15 — The Severe Asthmatic
- EMCrit Podcast 19 — Non-invasive Ventilation
- EMCrit Podcast 40 — Delayed Sequence Intubation (DSI)
LITFL Critical Care Compendium links:
- LITFL CCC — Alkali Therapies
- LITFL CCC — Non-invasive ventilation (NIV) and asthma
- LITFL CCC — Pretreatment drugs for Rapid Sequence Intubation (RSI)
RAGE
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC