EMCrit RACC Podcast 216 – The Hemodynamically Neutral Intubation - a podcast by Scott D. Weingart, MD FCCM

 



 



 



 



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.

The Pieces

Rapid Sequence Awake



Discussed in this podcast



or



Dissociated "Awake" Intubation



or



A Combination



then



you can consider a DSI for Hemodynamics, but only in non-tenuous patients



then



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.



and



Sedate with small hits of ketamine or fentanyl

Further Reading



* Pulmonary Hypertension Awake Intubation from CCM



Now on to the Podcast...

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Website of Scott D. Weingart, MD FCCM