PACU Reintubation

🔑 Key Priorities

  • Identify respiratory failure early

  • Prepare for safe reintubation with skilled assistance

🧠 Team Actions

Role

Task

Team Leader

Declare emergency, call for airway support

Airway Manager

Prepare RSI checklist, preoxygenate

Assistant

Monitor vitals, assist with drugs/equipment

🧭 Management Algorithm

  1. Assess for signs: desaturation, RR > 30, accessory use, agitation

  2. Call for help, apply high-flow oxygen or BVM

  3. Reassess decision to intubate

  4. RSI checklist: suction, airway gear, drugs

  5. Ramped position, preoxygenate, apnoeic oxygenation

  6. Intubate with backup airway plan ready

🔄 Ideal Crisis Flow

         PACU Patient Deteriorating
                  ↓
    High Flow Oâ‚‚ + Airway Support Called
                  ↓
     Prepare RSI Kit + Backup Airway Plans
                  ↓
          Intubate Safely + Debrief Team

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