Who is this awake intubation stuff for anyway?

So after the awake intubation video went up on emrap tv, I got a flurry of emails telling me how cool the concept is, but questioning who this would actually be usable on.

To answer that question, we first must discuss who actually requires intubation. If you wait until the patient is apneic, then of course you can’t use awake intubation. The idea is to intubate before the patient stops breathing. If you predict a patient is a difficult airway, you can and should perform the intubation awake.

In EMCrit Podcast 23, I discuss who actually requires intubation and which of these patients can be done awake.

I also discuss a new indication for awake intubation: the hypotensive trauma patient.

[click here to read more and hear the podcast]

photo by pig sty ave


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