Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Airway Emergencies

Video Transcription

Video Summary

Dr. Sarah Kekoma from Rush University Medical Center presents a comprehensive lecture on managing airway emergencies, particularly outside the operating room. The primary objectives include identifying signs and symptoms of an airway emergency, recognizing at-risk patients, and using standardized algorithms for team management. Dr. Kekoma emphasizes preparation, especially given the faster desaturation rates in ICU settings compared to operating rooms. Key reasons for intubation include airway protection, respiratory failure, and circulatory failure. Clinicians are advised to seek help promptly if initial intubation attempts fail. Techniques like bag mask ventilation, cricothyroidotomy, and the use of various equipment such as direct and video laryngoscopes, supraglottic airway devices, and fibrescopes are discussed. Recommendations also cover induction agents, neuromuscular blockade agents, and procedural tips for cricothyroidotomy. Finally, she stresses the importance of planning and readiness for potential complications, highlighting post-intubation hypotension as a common issue.

Keywords

airway emergencies

intubation techniques

ICU desaturation

airway management algorithms

cricothyroidotomy

post-intubation hypotension

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