ACE Inhibitor mediated Angioedema

A 71 year old male with a history of COPD and heavy ongoing smoking habit, presented to the emergency department with a 3 hour history of tongue, mouth and throat swelling. He had awoken from an afternoon nap with the symptoms and initially refused to come to hospital. By the time he arrived he was…

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Ketamine-only breathing intubation

Ketamine-only breathing intubation(KOBI), is a technique where Ketamine(+/- topical local anaesthetic) is used to facilitate intubation in patients that may not be able to tolerate traditional Rapid Sequence Intubation(RSI) 3 Approaches to Ketamine use in intubation Ketamine as the induction agent in normal RSI: It shows haemodynamic stability and a long duration of action Ketamine…

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