R.E.B.E.L.EM - Posted by Salim Rezaie - September 29, 2016
"Clinical Bottom Line:
- Pre-Intubation Hypoxemia is a risk factor for Peri-Intubation Cardiac Arrest:
- Options to Improve Hypoxemia:
- Start with NO DESAT (Nasal Oxygen During Efforts Securing A Tube) at 15LPM + NRB at 15LPM
- If you don’t get the O2 Sats ≥ 95% think about shunt physiology and consider the following interventions:
- Intervention 1: NC 15LPM + BVM 15LPM + PEEP Valve 5 – 15cmH20 (Apneic CPAP Recruitment)
- Intervention 2: Delayed Sequence Intubation (DSI)
- Intervention 3: Back Up Head Elevated (BUHE) Intubation
- Many of these interventions can be done simultaneously to ensure no hypoxemia"