What is the SFAR-SRLF joint guidelines protocol for rapid sequence intubation in the intensive care unit (ICU)?

Updated: Apr 07, 2020
  • Author: Keith A Lafferty, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Noninvasive ventilation should be used for preoxygenation of hypoxemic patients. For patients who are not severely hypoxemic, high-flow nasal oxygen can be used.

Include a respiratory component in the intubation protocol in order to decrease respiratory complications. Integrate a postintubation recruitment maneuver into the respiratory component for hypoxemic patients.

After intubation of hypoxemic patients, a positive end-expiratory pressure of at least 5 cm water is recommended.

A cardiovascular component to the protocol to address fluid challenges and early administration of amines to decrease cardiovascular complications is recommended.


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