UMEM Educational Pearls

Hypoxemia in the Intubated Asthmatic

  • Intubating and mechanically ventilating the asthmatic patient can be frought with potential complications that markedly increase morbidity and mortality.
  • In the ventilated asthmatic who develops persistent or worsening hypoxemia, evaluate the patient for the following complications:
    • right main stem intubation
    • pneumothorax
    • ETT displacement
    • ETT obstruction
    • air leak around the ETT
    • gastric distention (decreases respiratory system compliance)
    • ventilator malfunction
    • progressive bronchospasm


Brenner R, Corbridge T, Kazzi A. Intubation and mechanical ventilation of the asthmatic patient in respiratory failure. JEM 2009;37(2S):S23-34.