Clinical-use limit: Educational resource and cognitive-aid guide only; not a bedside order set or substitute for local protocol, medical direction, or clinical judgment.
Case management cards Tap each card to reveal the focused answer. The four cards match the airway workflow: before, during, after, and pitfalls.
Before intubation Preparation, physiology, positioning, equipment, and Plan B. Tap to reveal Before intubation Start resuscitation, antibiotics/source control pathway, pressors, and hemodynamic monitoring before induction when feasible. Name the shock risk in the timeout and assign a BP/pressor watcher. Choose induction strategy and dose with local protocol and hypotension risk in mind. During intubation Execution priorities during the attempt. Tap to reveal During intubation Avoid prolonged apnea and avoid excessive positive pressure. Confirm placement and immediately reassess BP, EtCO₂, perfusion, and ventilation. Have push-dose or infusion pressors ready per local protocol. After intubation Post-tube reassessment, ventilation, sedation, and handoff. Tap to reveal After intubation Sedation/analgesia must be hemodynamically thoughtful. Continue sepsis resuscitation and reassess ventilator effect on preload. Document tube depth, shock response, and next reassessment time. Common pitfalls Predictable traps to avoid. Tap to reveal Common pitfalls Treating intubation as separate from shock resuscitation. Propofol or sedatives that worsen hypotension in high-risk patients without a plan. No post-tube blood pressure reassessment.