Delayed sequence intubation: is it ready for prime time?

Taylor, John A.; Hohl, Corinne M.

doi:10.1017/cem.2016.13

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…It is the method of induction in patients who are agitated and difficult to pre-oxygenation [ 23 , 24 ]. Small doses of ketamine or benzodiazepine can be used to calm the patient enough to tolerate pre-oxygenation.…”

Section: Mode Of Induction (Table 2 )mentioning

confidence: 99%

Difficult tracheal intubation in critically ill

Ahmed

Azim

2018

j intensive care

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BackgroundEndotracheal intubation in critically ill is a high-risk procedure requiring significant expertise in airway handling as well as understanding of pathophysiology of the disease process.Main bodyCritically ill patients are prone for hypotension and hypoxemia in the immediate post-intubation phase due to blunting of compensatory sympathetic response. Preoxygenation without NIV is frequently suboptimal, as alveolar flooding cause loss of alveolar capillary interface in many of these patients. All these factors, along with relative fluid deficit, neuromuscular fatigue and coexistent organ dysfunction lead to physiologically difficult airway. Airway in ICU can be classified as anatomically difficult, physiologically difficult and anatomically as well as physiologically difficult. Though rapid sequence intubation is the recommended method for securing airway in these patients, other methods like delayed sequence intubation awake intubation and double setup approach can be used in specific subgroups. Further research is needed in this field to set guidelines and fine tune airway management for patients with specific organ failure or dysfunction.ConclusionAirway in ICU should be managed according to the physiological as well as the anatomical abnormalities.

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Section: Mode Of Induction (Table 2 )mentioning

confidence: 99%