Description: When we intubate, we often focus on getting a good view of the airway and making sure the tube gets in the trachea. But if we don’t pay attention to the patient’s physiology – BP, CO2, pH and thoracic pressure – we might make a bad situation even worse.
At the end of this presentation, participants will be able to:
- Recognize physiologic changes that occur during intubation and how they can exacerbate critical illness.
- Describe interventions to mitigate physiologic changes that might precipitate worsening in the patient’s status during intubation.
- However bad things are before you start, you can make them worse if you jump in too quickly. Take your time, have a plan for managing BP, pH and CO2 for intubation.
- Start pressors before you intubate critically ill patients. Whatever you give them, their pressure will drop – be prepared.
- If the patient has a low pH before intubation, it will get worse during and after intubation. Try to normalize pH as best as you can before starting.