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Carolinas Case Conference - Dr. Lounsbury

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Never assume that an airway will be straightforward!! 
• Upper airway edema is a common complication of supraglottic device use and should be expected
• King LT’s can be safely exchanged in the emergency department

• Bacterial meningitis has a high incidence of elevated intracranial pressure
• Suspect herniation syndrome in any patient with acute mental status change and meningitis is a potential diagnosis
• Hypertonic saline works rapidly to reduce intracranial pressure without significant downsides


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