Intubation after physiological optimization in the emergency department

  • Sunil Kumar Das Patan Academy of Health Sciences, Lalitpur, Nepal
  • Narma Chhantel Patan Academy of Health Sciences, Lalitpur, Nepal
  • Ashok Kumar Shah Patan Academy of Health Sciences, Lalitpur, Nepal
  • Umakant Tiwari Patan Academy of Health Sciences, Lalitpur, Nepal
  • Kripa Maharjan Patan Academy of Health Sciences, Lalitpur, Nepal
Keywords: intubation, difficult airway

Abstract

Emergency departments witness all sorts of unprecedented types of patients with respiratory compromise. Airway management must be done expeditiously in dire situations. It’s a well-known fact that patients are not well optimized for intubation as soon as they land up in an emergency. There might have a myriad of comorbidities to be addressed. Amongst various, we have discussed intubation in patients with increased intracranial pressure, patients with shock, patients with acidosis, and patients with respiratory failure. To have a better understanding of the physiological status of patients, reviewed 18 articles, and retrieved a synopsis from the abstract and conclusion. Here we have discussed the physiological optimization of patients based on current recommendation.

Author Biographies

Sunil Kumar Das, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of General Practice & Emergency Medicine, Patan Hospital

Narma Chhantel, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of General Practice & Emergency Medicine, Patan Hospital

Ashok Kumar Shah, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of General Practice & Emergency Medicine, Patan Hospital

Umakant Tiwari, Patan Academy of Health Sciences, Lalitpur, Nepal

Resident, Department of General Practice & Emergency Medicine, Patan Hospital

Kripa Maharjan, Patan Academy of Health Sciences, Lalitpur, Nepal

Lecturer, Department of General Practice & Emergency Medicine, Patan Hospital

Published
2022-12-30
Section
Short Communication