advancedCase Study
Viral Induced Wheeze -- PCCU Case
Stage 1: Post-Intubation Blood Gas
1 / 4A 21-month-old admitted to DGH with difficulty in breathing and reduced oral intake. Wheeze requiring Atrovent and salbutamol nebulisers. CXR: right-sided consolidation. Escalation through HFNO, CPAP, then intubated and ventilated on 3rd attempt. PMHx: Born at 35/40, previous admission for wheeze Dec 23 requiring O2 but no PCCU, family history of asthma, developmental milestones achieved.
Clinical Data
history: Difficulty in breathing, reduced oral intake, progressive escalation from HFNO to CPAP to intubation (3rd attempt)
observations
Ppeak: 35
FiO2: 1
blood gas
type: ART
pH: 6.9
pCO2: 13.6
pO2: 14.5
HCO3: 15.3
BE: 11.7
lactate: 0.7
units: kPa
pmhx: Born 35/40, previous wheeze admission Dec 23, FHx asthma
Decision Point
What are your thoughts on this blood gas?