SCCM Resource Library-NEBulous Use of Bronchodilators

Video Transcription

Video Summary

In this talk, the speaker discusses the continuous use of albuterol in mechanically ventilated patients and the lack of evidence supporting its effectiveness. They review the historical use of aerosolized bronchodilators, particularly albuterol, and how it has become a standard of care for intubated patients with asthma or COPD. However, the routine use of albuterol in patients with acute respiratory distress syndrome (ARDS) or hypoxic respiratory failure has no basis in fact and has been shown to have no significant impact on outcomes. The speaker emphasizes that albuterol should only be used in patients with asthma or COPD exacerbation, not in ventilated patients in the medical ICU. They also discuss the challenges in delivering aerosolized bronchodilators to mechanically ventilated patients and the need for better monitoring of its effectiveness. The speaker concludes by advocating for the reduction of unnecessary aerosol therapy in ventilated patients, both for the financial benefit and the avoidance of potential complications.

Asset Subtitle

Pulmonary, Pharmacology, 2023

Asset Caption

Type: two-hour concurrent | Treatments on Autopilot (SessionID 1119558)

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Area Pharmacology

Membership Level Professional

Membership Level Select

Tag Pulmonary

Tag Pharmacology

Year 2023

Keywords

albuterol

mechanically ventilated patients

effectiveness

aerosolized bronchodilators

asthma

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