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Category: Critical Care Nursing Risks associated with emergent intubation in the critically ill include hypoxemia, hemodynamic instability, cardiac arrest and death, underlining t...
Category: Critical Care Nursing Reported complication rates from tracheal intubation in the critically ill patient population can range from 4.2% to 22% and remain unacceptably hi...
Category: Critical Care Nursing Critically ill patients are at risk for periprocedural hypotension, which can lead to cardiac arrest. Hypotension during intubation is common, ofte...
Category: Critical Care Nursing The first therapeutic maneuver in patients with a metabolic alkalosis is to replace any volume deficit with normal saline and correct electrolyte d...
Category: Critical Care Nursing Hemodynamic instability is an predictor of death after intubation, underscoring the importance of an individualized approach to high-risk patients,...
Category: Critical Care Nursing Critically ill patients run higher risks of hypoxemia. Preoxygenation is limited by functional residual capacity and the ability to denitrogenate t...
Category: Critical Care Nursing Rapid-sequence intubation (RSI) is the standard of care in most emergency airway management settings because of its high rate of success. The goal...
Category: Critical Care Nursing With intubation, optimal patient positioning is important to maximize the success of both preoxygenation and laryngoscopy attempts. Upright positio...
Category: Critical Care Nursing Severe metabolic acidosis results in myocardial depression with a reduction in cardiac output, blood pressure and decreased hepatic and renal blood...
Category: Critical Care Nursing Acute respiratory insufficiency occurs when the lungs no longer meet the metabolic demands of the body, which by tradition is divided into two type...
Category: Critical Care Nursing Rapid-sequence intubation has an inherent delay of 45-90 seconds between medication administration and laryngoscopy. In patients with refractory hy...
Category: Critical Care Nursing In rapid-sequence intubation, the initial induction agent doses should be reduced by 25%–50% in the elderly and in patients with hypotension, hyp...
Category: Critical Care Nursing The first reported in children and then recognized also in adults, prolonged high-dose propofol (>100 μg/kg/min) is associated with the “prop...
Category: Critical Care Nursing During intubation, vasopressors should be used for periprocedural hypotension. Although a fluid bolus before induction has been shown to reduce the...
Category: Critical Care Nursing Severe metabolic acidosis requires an aggressive approach to treat the underlying causes. In most patients, the causes are obvious, with lactic aci...
Category: Critical Care Nursing In shock states, ScvO2 may exceed that of SvO2 by up to 20%. This tendency also applies in patients with cardiogenic, septic and hemorrhagic shock....
Category: Critical Care Nursing Infusion of bicarbonate can lead to a variety of problems in patients with acidosis, including fluid overload, hypernatremia and metabolic alkalosi...
Category: Critical Care Nursing A soiled airway increases the risk for aspiration complications and decreases first-pass success. Emesis, hematemesis and hemoptysis are more often...
Category: Critical Care Nursing Failing respiratory muscles, pain preventing effective breathing, increased abdominal pressures and agents that suppress respiratory drive - all de...
Category: Critical Care Nursing With tracheal intubation, decompensated cardiopulmonary disease and shunt physiology make preoxygenation more difficult in the critically ill, shor...
Category: Critical Care Nursing Correction of metabolic alkalosis increases minute ventilation, increases arterial and mixed venous oxygen tensions and decreases oxygen consumptio...
Category: Critical Care Nursing Avoiding hypoxemia is essential to preserve safe conditions during intubation. If oxygen saturation drops, the first rescue maneuver is the BMV tec...
Category: Critical Care Nursing In rapid-sequence intubation, Ketamine increases heart rate, blood pressure and cardiac output and has been shown to provide similar intubating con...
Category: Critical Care Nursing In the case of medication-induced respiratory alkalosis, the ABG and further studies with toxicology panel would help to identify the causes. Hypox...
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