Journal Club Folge 57 (KW 8): Prehospital transesophageal echocardiography versus conventional advanced life support in out-of-hospital cardiac arrest (PHTEE–OHCA): a randomized controlled pilot study.

Podcast-Folge · HAINS Talk · 17.02.2026 · 20 Min.

Lücke im Lebensretter-Netz geschlossen: Neuer Defibrillator in Poppenreuth installiert

Ein plötzlicher Herzstillstand erfordert sofortiges Handeln, weshalb ein dichtes Netz an Notfallgeräten entscheidend für die Überlebenschance der Betroffen...

Peri-intubation Cardiovascular Collapse During Emergency Airway Management - Pulmonary Therapy

Emergency airway management is a lifesaving procedure but can be associated with significant risks, including hypoxia, hypotension, cardiac arrest, and death. Peri-intubation hypotension, reported in ≥ 40% of cases, is strongly associated with increased morbidity and mortality. While clinical guidelines emphasize the importance of preoxygenation and hemodynamic optimization prior to intubation, the latter remains poorly defined, with limited available data to guide evidence-based strategies to mitigate cardiovascular collapse during rapid sequence intubation. This review synthesizes current knowledge on the epidemiology, risk factors, and pathophysiology of peri-intubation hemodynamic deterioration. We review targeted strategies for hemodynamic optimization of physiologic parameters before intubation. These include volume expansion with fluid resuscitation, vasopressor utilization, selection of pharmacologic agents, invasive hemodynamic monitoring, and advanced preoxygenation techniques. In selected high-risk patients, we also discuss the potential role of extracorporeal membrane oxygenation as an adjunctive or rescue therapy. Our goal is to provide airway specialists with a comprehensive framework for mitigating cardiovascular collapse during emergent airway management and to stimulate further research into this high-risk and understudied domain.

Petitionen: Petition 184929

Petitionen: Petition 184929

Petitionen: Petition 184929