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At what point does a child need to be intubated when she has sepsis?

Hi. At what point does a child need to be intubated when she has sepsis . My child had Rocky Mountain spotted fever and her rr got as high as 80 before they intubated. Prior to this she had signs of low kidney function, elevated liver numbers. They didn't know she had rmsf, but weren't treating her for it. Isn't early intubation crucial if sepsis is suspected and rr and heart rate are high.
Asked On : Sun, 31 Mar 2013
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Pediatrician 's  Response
Hi dear,
Thanks for your query to health care magic. Its not so easy to explain to a common man about when to intubate or need. Intubation is mainly done when patient is unable to sustain oxygenation by himself. They do blood gas analyses to know if oxygen levels and carbondioxide levels are abnormal and if intubation is necessary. Most probably a good hospital wiil follow guidelines accordingly and respiratory rate alone is not an indication for intubation. Full case history needs to be reviewed beforecoming to a conclusion. RMSF is a rare disease and many times gets missed unless we are vigilant enough. Be supportive rather than blaming. They would have done the right thing but full case history & treatment history is needed before coming to a conclusion.
Take care
Dr. Balaji CHinnasami MD
Assistant Professor - Pediatrics
Answered: Tue, 30 Apr 2013
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