Cardiovascular Collapse after Endotracheal Intubation: Risk Factors and Prevention in the ICU

Authors

  • J. Delmas Réanimation polyvalente, centre hospitalier de Rodez
  • J.-P. Quenot Réanimation médicale, CHU de Dijon
  • J.-M. Constantin Pôle de médecine périopératoire, CHU de Clermont-Ferrand
  • S. Perbet Réanimation médicochirurgicale, CHU de Clermont-Ferrand

DOI:

https://doi.org/10.3166/rea-2018-0021

Keywords:

Acute respiratory distress syndrome, Mechanical ventilation, Airway pressure release ventilation, Spontaneous breathing, Ventilator induced lung injury, Ventilator induced diaphragm dysfunction

Abstract

The occurrence of cardiovascular collapse after endotracheal intubation in ICU patients is frequent. The identification of risk factors related to the patient (elderly, severe septic respiratory disease with marked impact, history of cardio-respiratory diseases) and to the procedure (hypnotics, mechanical ventilation) is important. It must make it possible to anticipate the different treatments of the post-intubation shock state within the framework of a bundle: presence of two operators, optimized preoxygenation, fluid challenge, vasopressors, agents for rapid sequence induction, preparation and initiation of maintenance sedation, capnography, protective ventilation.

Published

2018-03-01

How to Cite

Delmas, J., Quenot, J.-P., Constantin, J.-M., & Perbet, S. (2018). Cardiovascular Collapse after Endotracheal Intubation: Risk Factors and Prevention in the ICU. Médecine Intensive Réanimation, 27(2), 114–121. https://doi.org/10.3166/rea-2018-0021

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