3.8 Article

Airway Management in the Critically Ill Patient

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CURRENT ANESTHESIOLOGY REPORTS
卷 11, 期 2, 页码 116-127

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SPRINGERNATURE
DOI: 10.1007/s40140-021-00448-3

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Intubation; Critically ill; Preoxygenation; Cardiovascular collapse; Desaturation; Hemodynamics

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Airway management in critically ill patients is crucial, but complications such as cardiac arrest are common during intubation. Despite advancements in preoxygenation and laryngoscopy technology, the risk of cardiovascular collapse remains high.
Purpose of Review This paper will evaluate the recent literature and best practices in airway management in critically ill patients. Recent Findings Cardiac arrest remains a common complication of intubation in these high-risk patients. Patients with desaturation or peri-intubation hypotension are at high risk of cardiac arrest, and each of these complications have been reported in up to half of all intubations in critically ill patient populations. There have been significant advances in preoxygenation and devices available for performing laryngoscopy and rescue oxygenation. However, the risk of cardiovascular collapse remains concerningly high with few studies to guide therapeutic maneuvers to reduce this risk.

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