Episode 104: A high dose of acute asthma therapeutics
In episode 104, Mike and James blow out a lot of hot air about the use of medications for acute asthma and they come to the quick realization that the concepts they have been evangelising for the past 2 years (low dose and shared-informed decision making) have no role in acute asthma. James, in an act of defiance gets a cat to sit on top of Mike’s head until becomes acutely short of breath and then gives Mike a 1/4 puff of salbutamol. Shockingly, the outcome was less than optimal.
Show notes
1) Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma
2) Continuous versus intermittent beta-agonists for acute asthma
3) Combined inhaled anticholinergics and beta2-agonists for initial treatment of acute asthma in children
4) Early emergency department treatment of acute asthma with systemic corticosteroids
5) Magnesium for acute asthma
6) Aminophylline for acute asthma
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