Note to myself: An okay talk but no details on drug dosing or other details of RSI. The PressorDex Critical Care Medication Guide does have details. The latest edition is the 5th edition, published Feb. 1, 2024.
Today, I review, link to, and embed CriticalCareNow‘s video, How to Prevent Post-Intubation Hemodynamic Collapse!
All that follows is from the above resource.
May 28, 2023 ResusX:PodcastIn this video, Dr. Steve Haywood discusses crucial preparations and considerations before initiating intubation in critical care and emergency medicine settings. He emphasizes the importance of being aware of potential complications and taking necessary steps to prevent adverse outcomes. Dr. Haywood introduces a mnemonic, SOAP P-ME-E, to guide the pre-intubation checklist. The mnemonic includes the following key elements: suction, oxygenation, airway equipment, pharmacology, positioning, monitor setup, emergency backup plan, and end-tidal CO2 monitoring. Dr. Haywood highlights the gravity of every intubation having the potential for adverse events, stressing that even successful intubations can lead to death. He explains the risks associated with post-intubation cardiac arrest and the high mortality rates associated with such events. The discussion delves into the selection of induction agents, particularly Ketamine, highlighting its advantages over other agents while acknowledging its potential complications. The importance of proper positioning, monitoring, and emergency backup plans, including video laryngoscopy and bougie usage, are also emphasized. This informative video provides critical insights and practical tips for healthcare professionals involved in intubation procedures, with the ultimate goal of enhancing patient safety and optimizing outcomes.
00:00 Introduction to Intubation
00:00 The Importance of Proper Intubation
00:37 The Risks of Intubation
01:33 The SOAP MEE Mnemonic for Intubation
02:26 The Role of Pharmacology in Intubation
07:55 The Importance of Positioning in Intubation
08:50 Setting Up the Monitor for Intubation
09:37 Emergency Backup for Intubation
09:49 The Use of Video Laryngoscopy and Bougie in Intubation
11:12 The Importance of End Tidal CO2 in Intubation
