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!