Cardiovascular Collapse after Endotracheal Intubation: Risk Factors and Prevention in the ICU

The occurrence of cardiovascular collapse after endotracheal intubation in ICU patients is frequent. The identification of risk factors related to the patient (elderly, severe septic respiratory disease with marked impact, history of cardio-respiratory diseases) and to the procedure (hypnotics, mechanical ventilation) is important. It must make it possible to anticipate the different treatments of the post-intubation shock state within the framework of a bundle: presence of two operators, optimized preoxygenation, fluid challenge, vasopressors, agents for rapid sequence induction, preparation and initiation of maintenance sedation, capnography, protective ventilation.