RT Journal Article
SR Electronic
T1 Approach to the Physiologically Challenging Endotracheal Intubation in the Intensive Care Unit
JF Respiratory Care
FD American Association for Respiratory Care
SP 1438
OP 1448
DO 10.4187/respcare.10821
VO 68
IS 10
A1 Hickey, Andrew J
A1 Cummings, Matthew J
A1 Short, Briana
A1 Brodie, Daniel
A1 Panzer, Oliver
A1 Madahar, Purnema
A1 O'Donnell, Max R
YR 2023
UL http://rc.rcjournal.com/content/68/10/1438.abstract
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.