Step II Anaphylaxis and Intubation

[StrangerX]

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If a patient has respiratory distress and anaphylaxis/angioedema type picture, will you intubate first and then give the epinephrine or will you still give the epi first? I mean there is a chance that the patient could not have anaphylaxis and therefore not respond to epi (C1 esterase deficiency).

 

[link2swim06]

If a patient has respiratory distress and anaphylaxis/angioedema type picture, will you intubate first and then give the epinephrine or will you still give the epi first? I mean there is a chance that the patient could not have anaphylaxis and therefore not respond to epi (C1 esterase deficiency).

Uworld says epi first. Secrets and kaplan say ABCs first.

No clue who to believe.

 

[CDI]

If it takes that long to decide and give an epi, you have bigger problems to worry about...

 

[evilbooyaa]

C1 esterase deficiency won't be an incited event as allergy-induced anaphylaxis will. If they mention a restaurant, bee sting, peanuts, etc. go w/ epi first IMO.

 

[Raryn]

If a patient has respiratory distress and anaphylaxis/angioedema type picture, will you intubate first and then give the epinephrine or will you still give the epi first? I mean there is a chance that the patient could not have anaphylaxis and therefore not respond to epi (C1 esterase deficiency).

The epi might relieve some of the airway edema therefore making your intubation easier.

Not to mention you should be able to stick them with an IM epi while you're preping the intubation supplies.