Intubation and Mechanical Ventilation

INDICATIONS

A – protection and patency
B – respiratory failure (hypercapnic or hypoxic), increase FRC, decrease WOB, secretion management/ pulmonary toilet, to facilitate bronchoscopy
C – minimise oxygen consumption and optimize oxygen delivery (e.g. sepsis)
D – unresponsive to pain, terminate seizure, prevent secondary brain injury
E — temperature control (e.g. serotonin syndrome)

Other — safety for transport (e.g. psychosis), humanitarian reasons

COMPLICATIONS

A – CICV, failed intubation, damage at intubation, mouth ulceration and bleeding
B – VAP, VILI, barotraumas, oxygen toxicity, patient ventilator asynchrony
C – decreased RV preload and increased RV afterload, decreased splanchnic blood flow, increased ICP, fluid retention due to decreased Q, decreased renal blood flow
D – neuropsychiatric complications, insomnia, pain, weakness, PTSD

Other – ileus, equipment malfunction, contamination, incorrect ventilation

CCC Ventilation Series

Introduction to ICU Series

CCC 700 6

Critical Care

Compendium

Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the  Clinician Educator Incubator programme, and a CICM First Part Examiner.

He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.

His one great achievement is being the father of three amazing children.

On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

One comment

  1. Very informative and being summarised in the ABCDE model made it easier to understand the reason for intubation and mech ventilation. Thankyou so much Dr Chris Nickson

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