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Management of the peri-intubation period in patients with pulmonary arterial hypertension and respiratory failure

  • 24-06-2024
  • CSF Drainage
  • Cardiovascular Critical Care (A Higgins and R Lee, Section Editors)
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Abstract

Purpose of Review

The endotracheal intubation of patients with pulmonary arterial hypertension (PAH) in respiratory distress is a highly morbid procedure that can precipitate hemodynamic collapse. Here we review our strategy for confronting this difficult clinical situation.

Recent findings

There are no clinical trials that explore best practices in the management of patients with PAH and respiratory failure.

Summary

Here we provide a practical approach to respiratory support, inopressor and pulmonary vasodilator selection, hemodynamic considerations, point-of-care ultrasound monitoring, and endotracheal intubation in patients with PAH in respiratory failure.
Title
Management of the peri-intubation period in patients with pulmonary arterial hypertension and respiratory failure
Authors
Alexander I. Papolos
Benjamin B. Kenigsberg
Daniel R. Austin
Christopher F. Barnett
Publication date
24-06-2024
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME