Don't intubate the severe asthmatic,

try NIV first

continue the nebs on the NIV

obviously they need steroids and throw in Mag Update: (3 MG RCT tells us to skip the Magnesium even in severe asthma)

does ketamine work? maybe...

If you intubate, Ron Walls says add lidocaine to your sedative and paralytic

if you put them on the vent make sure your plateau pressure stays below 30 cm H20

or make sure the flow graph shows flow has stopped before the next breath

Here is the vent lecture:

"Not the Greatest Vent Lecture Ever"

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