Pediatrica intensiva: Art & Science of Pediatric Critical Care
Airways That Scare Me - Respiratory Instability w Robi Khemani
Jul 11, 2024
In this engaging talk, Robi Khemani, a leading expert on pediatric respiratory disorders from Children's Hospital LA, dives into the challenges of managing respiratory unstable patients. He delves into the complexities of peri-intubation risks and highlights the roles of newer drugs and devices that complicate decision-making. The discussion emphasizes the importance of teamwork in high-pressure situations, innovative non-invasive ventilation strategies, and the ongoing need for vigilance in monitoring patient conditions. A must-listen for anyone in pediatric critical care!
55:14
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Quick takeaways
- Airway management extends beyond intubation; focusing on patient stability and continuous heart function during the peri-intubation period is crucial.
- Identifying high-risk patients, such as those with ARDS, relies on evaluating their oxygen saturation and respiratory effort before intubation.
Deep dives
Peri-Intubation Risks and Strategies
Airway management involves not just the act of intubation but also managing patient stability throughout the peri-intubation period. Ensuring continuous heart function during intubation is crucial, as stopping a heartbeat for the procedure is not considered successful. New evidence suggests that strategies like pre-recruitment, apneic oxygenation, and apneic ventilation can improve outcomes for patients with compromised lungs. This paradigm shift requires healthcare professionals to adapt their approaches to ensure better oxygenation and stability before and during intubation.
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