Core EM - Emergency Medicine Podcast

Episode 107.0 – Angioedema

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Prompted by the recent CAMEO trial publication on icatibant, we dive into angioedema with a focus on airway management.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_107_0_Final_Cut.m4a
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Tags: ACE Inhibitors, Allergy/Immunology, Angioedema, Icatibant
Show Notes

Take Home Points

  1. Airway management is paramount, expect a challenging intubation and consider controlling the airway early
  2. When controlling the airway, consider an awake approach and fiberoptics if available. Always be prepared for the can’t intubate, can’t oxygenate scenario with a double set up.
  3. If the patient has urticaria and pruritus, the process is likely histamine mediated and will respond to typical anaphylaxis treatment
  4. Finally, observe the patient for progression of swelling and don’t forget to stop the inciting medication

    5. Read More

    Core EM: Angioedema

    EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC

    ERCast: Angioedema

    REBEL EM: Icatibant Doesn’t Improve Outcomes in ACE-I Induced Angioedema

    The SGEM: Icatibant Bites the Dust – For ACE-I Induced Angioedema


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