Good discussion Dr. Gireesh Kumar sir and team.👍 Use of LABAs causes tolerance due to downregulation of β2-adrenoceptors. Therefore the use of LABAs alone is contraindicated.Always give combination with inhaled corticosteroids. Indications for intubation in Asthma patients : -If continued threat of airway obstruction despite first line and second line treatment. -If PCO2 normalizes or elevated (patient should be hyperventilating leading to low PCO2, if the patient becomes fatigued, PCO2 will begin to increase)
Yeah most of the time unit chiefs are like ... "stupid fellow , useless fellow, don't know anything, u don't know the mechanism of steroids also, how did u pass mbbs, u idiot!!"
Sir you are a legend. Indian doctors are best doctors in the world. I m a fan of indian doctors.. sir Allah will bless you long healthy life.. love from Pakistan
Awesome informative video Sir ,,you(all aetcm physicians/consultants) are my guru ,n I m ur shisya,,soon from all over the world there will be a n number of shisyass/followers........🙏........
Can you guys do more cardiac cases like ccf with renal failure or pulmonary edema and how to give fluid, Arythmia in emd. I think lcardiac disease have more complications that needs to be discussed
Thank you so much for this informative and amazing video o have a question in regard of using hydrocortisone in diabetic patient who is not controlled would that be of an adverse effect and might cause complication?
Sir, thank you for posting video on acute asthma.just a question to clarify myself patient is having fever, mucopurelent sputum, should not we do X-ray first to rule out following conditions as well ? pneumonia Tuberculosis Lung abscess
Doctor's were prescribing me antibiotics every time I had asthma in childhood and even in adolescence age . I lost my stomach health because of it. I have much problem because of acidity. Plz avoid unnecessary meds.
sir you skipped aminophyline and antihistamines , do they dont have any role in acute phase of asthma? plz do also tell if incentive spiromters play any role in improving pateint with acute or extrinsic asthamas?