SCCM Resource Library-Approaches to Temporize Hypoxemia During Airway Management

Video Transcription

Video Summary

Craig's presentation delves into managing physiologically difficult airways, particularly in the context of hypoxemia during emergency airway management. Highlighting findings from the intube study, he notes hypoxemia occurred in 9.3% of cases, affecting survival rates slightly. He stresses that transient hypoxemia isn't benign, as it influences mortality and clinician performance. In critically ill patients, issues like VQ mismatch and physiologic shunt complicate oxygenation, often requiring positive pressure to be managed effectively. He emphasizes using non-invasive ventilation and high-flow nasal oxygen, though each has limitations. Craig presents a stratified pre-oxygenation approach based on patient severity, advocating for more non-invasive methods in severe cases. He also counters historical hesitations in using bag-mask ventilation, citing evidence of its safety and effectiveness. Lastly, he underscores the importance of first pass intubation success in reducing hypoxemia risk, thus improving outcomes.

Asset Caption

One-Hour Concurrent Session | The Physiologically Difficult Airway: Prediction, Mitigation, and Recovery

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

hypoxemia

airway management

non-invasive ventilation

pre-oxygenation

intubation success

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.