Q: 22 years old male is admitted to ICU with abdominal Gunshot Wound (GSW). Surgical service is planning to take patient to the OR. Patient Blood Pressure is 110/60 mm Hg and heart rate is 120 bpm. Patient is protecting his airway. Volume resuscitation is underway. Patient should be preemtively intubated
A) True
B) False
Answer: False
Risk of hypotension following intubation should always be a major concern in each and every intubation, and should be weighed against the benefits of intubation. Above case is used as a classical example where delaying intubation may allow more time for hemodynamic resuscitation. Hypotension following intubation can be detrimental and fatal.
Reference:
Heffner AC, Swords DS, Nussbaum ML, et al. Predictors of the complication of postintubation hypotension during emergency airway management. J Crit Care 2012; 27:587.
A) True
B) False
Answer: False
Risk of hypotension following intubation should always be a major concern in each and every intubation, and should be weighed against the benefits of intubation. Above case is used as a classical example where delaying intubation may allow more time for hemodynamic resuscitation. Hypotension following intubation can be detrimental and fatal.
Reference:
Heffner AC, Swords DS, Nussbaum ML, et al. Predictors of the complication of postintubation hypotension during emergency airway management. J Crit Care 2012; 27:587.
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