In this episode of the podcast, we will discuss tracheal intubation-associated hypotension. Endotracheal intubation is a common procedure in the clinical care of critically ill patients. Tracheal intubation in the ICU is often associated with cardiovascular complications that can include hypotension, cardiac arrest, or death. A recently published clinical trial evaluating the impact of a 500ml- bolus of crystalloid solution intravenously on cardiovascular complications post-intubation is the catalyst for our discussion.

Additional Resources

Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation. A Randomized Clinical Trial. The PREPARE II Investigators.

https://jamanetwork.com/journals/jama/fullarticle/2793545

Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PREPARE) a randomized controlled trial. The PREPARE Investigators. https://pubmed.ncbi.nlm.nih.gov/31585796/

Previous episodes of Critical Matters discussing other Intravenous Fluid topics.

Critical Matters_Fluid Responsiveness: https://bit.ly/3bBTOg7

Critical Matters_Fluid BaSICS: https://bit.ly/3y99S0j

Link to REBELEM post on Post Intubation Hypotension: The AH SHITE mnemonic.

https://rebelem.com/post-intubation-hypotension-the-ah-shite-mnemonic/

Link to PulmCrit Blog on PREPARE clinical trial.

https://emcrit.org/pulmcrit/prepare/

Books mentioned in this episode:

Leonardo Da Vinci. By Walter Isaacson.

https://amzn.to/3Nw0PfG

Benjamin Franklin. By Walter Isaacson.

https://amzn.to/3OM3N0C