ICU SAQs · Airway management
Peri-intubation cardiovascular collapse
A CICM Second-Part SAQ on peri-intubation cardiovascular collapse — the dominant major adverse event of ICU intubation (42.6% in INTUBE). The candidate explains the mechanisms (loss of sympathetic tone, unmasked hypovolaemia, reduced venous return), the predictors (shock, hypovolaemia, high induction dose), and the preventive bundle of pre-emptive resuscitation, vasopressor support and dose reduction.
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Prompt
Cardiovascular instability is the most frequent major complication of intubation in the intensive care unit. Outline the mechanisms, the predictors and the preventive measures for peri-intubation cardiovascular collapse.
Question
Cardiovascular instability is the most frequent major complication of intubation in the intensive care unit. Outline the mechanisms, the predictors and the preventive measures for peri-intubation cardiovascular collapse. (10 marks)[1]
References3ShowHide
- [1]Russotto V, Myatra SN, Laffey JG, et al. Intubation Practices and Adverse Peri-Intubation Events in Critically Ill Patients From 29 Countries. JAMA, 2021.PMID 33755076
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [3]Marino PL The ICU Book. 4th edition, Lippincott Williams & Wilkins, 2014.