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The Physiologically Liberal Way to Intubate Patients
There's apnea tolerance that comes from mainly hypoxemia refractory hypoxemia. There's the hemodynamic compromise that happens when you give drugs and no matter how pharmacologically stable or hematonomically embarrassing your drug of choices, all of them cause some kind of hemodynamic consequence. And then the transition to positive pressure and their underlying fluid status and all that stuff kind of increases the danger the patient experiences despite however fast or long it takes you to intubate.