John vonRosenberg, MA, FP-C: No financial relationships to disclose
Jessica Rispoli, FNP-C, CFRN, CEN, PHRN, CMTE: No financial relationships to disclose
This session with review the importance of preventing hypoxia and hypotension during RSI and best practices to manage acutely ill patients in the pre-intubation period. Participants will review induction medications, paralytics, push dose pressors and their effects on the sympathetic response through the lens of airway management case studies. The session will also cover mental models that can be practiced and shared among team members to ensure that appropriate care is provided independent of the presence of external stressors. Special attention will be placed on resuscitation before intubation, utilizing the shock index to assess for risk of deterioration, and practical application of current research.
Learning Objectives:
Articulate the effects that hypotension and hypoxia have on a patient’s clinical outcome during intubation.
Defend the decision to resuscitate before intubation in the patients who are at risk for hypoxia and/or hypotension.
Demonstrate techniques for identifying at risk patients and preventing hypoxia and hypotension during intubation, as considered through case studies.