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Updated: Nov 8, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Airway Management in the Critically Ill Patient
Bhupinder Natt1, Jarrod Mosier1,2
1Division of Pulmonary, Allergy, Critical Care, and Sleep, Department of Medicine, University of Arizona College of Medicine, Tucson, AZ USA.
Managing airways in critically ill patients carries a high risk of cardiac arrest, often linked to desaturation or hypotension during intubation. While new tools exist, cardiovascular collapse remains a significant concern.
Area of Science:
- Critical Care Medicine
- Airway Management
- Emergency Medicine
Background:
- Critically ill patients present unique challenges for airway management.
- Intubation in this population is associated with significant morbidity and mortality.
Purpose of the Study:
- To review current literature and best practices for airway management in critically ill patients.
- To identify key risks and recent advancements in the field.
Main Methods:
- Systematic review of recent literature.
- Evaluation of best practices in airway management.
- Analysis of complication rates and available devices.
Main Results:
- Cardiac arrest is a frequent complication of intubation in critically ill patients.
- Desaturation and peri-intubation hypotension are major risk factors, occurring in up to 50% of cases.
- Advances in preoxygenation and devices have been made.
Conclusions:
- Despite technological advances, the risk of cardiovascular collapse during airway management remains high.
- Further research is needed to develop effective therapeutic strategies to mitigate these risks.
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