Done one last year, my only one. Adult. immigrant. unvaccinated. My mate was ER doc and he rang me when she was still in the ambulance. Status asthmaticus was the initial diagnosis. In Emerg she was drooling, no big history of asthma and stridoring.
Took her straight to OR, called ent. Gassed her on sevo nitrous, 20 of ketamine. Actually put the entropy on for the laugh. When it hit 30, which wasnt very long i had a look, no relaxant with the mcgrath. Cords were fine, but epiglottis was really angry. Cant remember what she grew in the end.
Her PCO2 was 28kPa. Still put her on epi drip and iv salbutamol over night in case it was asthma
I actually think she was discharged home 3 days later. The other staff were laughing at me that i overreacted...
But they werent there that night so f them lol