CHEST 2023 On Demand Pass-From Intubation to Extubation: A Review of the Most Recent Literature

Video Transcription

Video Summary

In this video, several presenters discuss the strategies and considerations for intubation, extubation, and preventing reintubation in critically ill patients. Dr. Casey talks about the risks and complications associated with the intubation procedure and the importance of strategies to prevent hypoxemia during intubation. He discusses the use of devices such as high-flow nasal cannula and non-invasive ventilation during the pre-oxygenation and apneic oxygenation phases of intubation. Dr. Young presents on the use of oxygen therapy targets in the ICU and highlights the need for further research in this area. He discusses the ICU Rocks trial, which compared conservative and liberal oxygen regimens in patients requiring unplanned life support in the ICU. Dr. Kapoor focuses on spontaneous breathing trials (SBTs) and their role in assessing the readiness for extubation. She discusses the clinical criteria and ventilatory, oxygenation, and pulmonary reserve parameters that should be considered before initiating an SBT. She also discusses the different methods of SBTs, such as pressure support ventilation and a tube compensation trial, and their effectiveness in preventing reintubation. Overall, the presenters emphasize the need for individualized and protocolized approaches to intubation, extubation, and preventing reintubation in critically ill patients. They highlight the importance of considering patient risk factors and utilizing devices such as high-flow nasal cannula and non-invasive ventilation to optimize patient outcomes.

Meta Tag

Category Critical Care

Session ID 1046

Speaker Jonathan Casey

Speaker De De Gardner

Speaker Aanchal Kapoor

Speaker Paul Young

Track Critical Care

Keywords

intubation

extubation

reintubation

critically ill patients

hypoxemia

pre-oxygenation

high-flow nasal cannula

non-invasive ventilation

spontaneous breathing trials

patient risk factors