SCCM Resource Library-Prevention and Recovery From Cardiovascular Instability During and After Airway Management

Prevention and Recovery From Cardiovascular Instability During and After Airway Management

Video Transcription

Video Summary

Megan, representing pharmacists and emergency medicine, explores cardiovascular instability during and after airway management, focusing on prevention and recovery strategies. Cardiovascular instability, involving factors like hypotension and hypoxemia, is common, occurring in up to 42% of cases, and is linked to higher mortality, but can be potentially prevented or treated. The lecture reviews IV fluids, vasopressors, and sedative-hypnotic choices for rapid sequence intubation (RSI). Trials like PREPARE and PREPARE-2 show no significant difference in cardiovascular collapse when administering a 500 mL fluid bolus. Challenges in vasopressor use involve safety and proper dosing concerns. Sedative-hypnotic choice impacts stability; Atomidate is considered hemodynamically neutral, while Ketamine and Propofol may cause hypotension. Guidelines suggest no strong evidence for specific fluid or vasopressor use and highlight the importance of assessing sedative choices in managing cardiovascular instability.

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

cardiovascular instability

airway management

rapid sequence intubation

vasopressors

sedative-hypnotics

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