Almost no one knows how intubation actually works!

Pulmonary HTN Airway Management -Fraught w/ challenges can result in rapid HD collapse -Induction agents -> loss of catecholamine tone resulting in hypotension, RV hypoperfusion drop in RV fxn -Apnea from paralysis -> hypercapnea, pulmonary vasoconstriction drop in RV output -Positive pressure ventilation increases PA RV pressure resulting in increased RV strain -Avoid intubation: HFNC, support HD administer pulmonary vasodilators #emergency #emergencymedicine #ems #resuscitation #airway #intuba