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Richard AF Pellatt Emergency Department, Gold Coast University Hospital, Gold Coast, Queensland, Australia Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia School of Medicine, Griffith University, Gold Coast, Queensland, Australia LifeFlight Retrieval Medicine, Brisbane, Queensland, Australia Search for more papers by this author
Ventilator-assisted preoxygenation (VAPOX) is practical and can be considered as a tool for pre-intubation optimisation in the retrieval environment. Pre-intubation respiratory physiology can be optimised by delivering variable pressure supported minute ventilation, achieving a low incidence of post intubation critical hypoxia. Incidence of post-intubation hypotension was high, emphasising the need to optimise cardiovascular physiology prior to VAPOX.
Abstract Patients frequently present to the ED with drug overdose and reduced conscious level leading to coma. There is considerable practice variation around which patients require intubation. Indications include: (i) respiratory failure (including airway obstruction); (ii) to facilitate specific therapies or intubation as a therapy in itself; and (iii) for airway protection in the unprotected airway.
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