Monday, January 14, 2013

Angioedema: The True Airway Nightmare

Fantastic lecture on managing the angioedema airway by THE Dr. Roberts of Roberts and Hedges fame with commentary by Dr. Amal Mattu.

Take home points:

*Continue to use all of your allergy fighting meds (Steroids, epi, antihistamines) even though no evidence exists that they help

*Get consultants (particularly ENT-or surgery and Anesthesia) on board immediately if you suspect decompensation. Also, ALL of your backup airway: bougie, fiberoptic, cric kit

*TRY FFP !!!! Dr. Roberts points out several case reports of improvement and recommends trying 2-3 units of FFP in true emergent cases.

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