Podcast #444: Dyspnea in the intubated patient
Emergency Medical Minute · medicalminute
March 6, 20192m 6s
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Show Notes
Author: Aaron Lessen, MD
Educational Pearls:
- Dyspnea can occur in up to 50% of intubated patients
- Dyspnea is associated with prolonged mechanical intubation
- Often goes undiagnosed as these patients have difficulty communicating
- Expert opinion on reducing sensation of dyspnea
-
- Reduce stimulation of respiratory drive like fever and acidosis
- Give bronchodilators for patients with wheezing
- Optimize the ventilator settings
- Use medications for comfort (i.e. opioids, benzodiazepines)
References:
Decavèle M, Similowski T, Demoule A. Detection and management of dyspnea in mechanically ventilated patients. Curr Opin Crit Care. 2019 Feb;25(1):86-94. doi: 10.1097/MCC.0000000000000574. PubMed PMID: 30531366.
Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD