LEARN TO INTUBATE THE SICK RIGHT VENTRICLE

LEARN TO INTUBATE THE SICK RIGHT VENTRICLE // Patients with RV dysfunction can be dangerous to intubate...so rule #1 is try not to intubate them. But if you do have to intubate them, you have to use a tremendous amount of caution and be prepared. In this #CritBits I'll be discussing the approach to intubating these patients.

[@steveabraham3052]

I love Crit Bits!!

[@CriticalCareNow]

Thanks! I appreciate you

[@waddahalyafay2007]

Thank you , really enjoying your channel, regarding ketamine lower doses, as per Rosen it possesses a threshold response rather than an additive
dose-response continuum. Smaller doses of ketamine cause
analgesia and disorientation. Dissociation occurs when a dosage
threshold of 1 to 1.5 mg/kg IV in adult patients or 1.5 to 2.0 mg/
kg in younger pediatric patients is reached. Rosen page 57 !

[@CriticalCareNow]

Thanks for the question. Books vs. real life. Very different. You have to look to the literature to fully know. Doses that Rosens sight will be too much and cause hypotension in patients with elevated shock indexes. Thanks for your comment

[@ashutoshmeena6139]

Great as usual.......Missed the echo effect though...😀

[@CriticalCareNow]

Haha. Thanks. Next time for sure!

[@nerdymedic]

what are your thoughts on inhaled ntg / milrinone - eg as recently featured on emcrit with Sara Crager?

[@CriticalCareNow]

Haven’t used NTG but seems reasonable.