In Podcast 104, we discussed how to avoid killing hemodynamically unstable patients while intubating. Today's podcast takes that concept a step further to allow you achieve a hemodynamically neutral intubation.
Rapid Sequence Awake
Discussed in this podcast
Dissociated “Awake” Intubation
you can consider a DSI for Hemodynamics, but only in non-tenuous patients
place the patients on CPAP/PSV mode with both set to zero
if the patient requires mechanical ventilatory support because they continue to decline, consider
Higher Vt/Lower Rate as per Davis et al.
Sedate with small hits of ketamine or fentanyl
Now on to the Podcast…
- EMCrit 281 – Why Can't Emergency Medicine and Trauma Surgery Just Get Along? - September 4, 2020
- EMCrit 280 – Who Should Get Angiotensin II with Rinaldo Bellomo - August 19, 2020
- EMCrit Wee – Is it Tamponade with Jacob Avila - August 17, 2020