PT  - JOURNAL ARTICLE
AU  - Hickey, Andrew J
AU  - Cummings, Matthew J
AU  - Short, Briana
AU  - Brodie, Daniel
AU  - Panzer, Oliver
AU  - Madahar, Purnema
AU  - O'Donnell, Max R
TI  - Approach to the Physiologically Challenging Endotracheal Intubation in the Intensive Care Unit
AID  - 10.4187/respcare.10821
DP  - 2023 Oct 01
TA  - Respiratory Care
PG  - 1438--1448
VI  - 68
IP  - 10
4099  - http://rc.rcjournal.com/content/68/10/1438.short
4100  - http://rc.rcjournal.com/content/68/10/1438.full
AB  - Endotracheal intubation for airway management is a common procedure in the ICU. Intubation may be difficult due to anatomic airway abnormalities but also due to physiologic derangements that predispose patients to cardiovascular collapse during the procedure. Results of studies demonstrate a high incidence of morbidity and mortality associated with airway management in the ICU. To reduce the likelihood of complications, medical teams must be well versed in the general principles of intubation and be prepared to manage physiologic derangements while securing the airway. In this review, we present relevant literature on the approach to endotracheal intubation in the ICU and provide pragmatic recommendations relevant to medical teams performing intubations in patients who are physiologically unstable.