@ermedthreads: 🚨 PATIENTS YOU SHOULD NEVER INTUBATE? PART 3 🚨 The failing RIGHT HEART. 🫀 Intubation can be dangerous in severe pulmonary hypertension and acute RV failure because induction + positive-pressure ventilation can worsen RV afterload, reduce venous return, decrease LV filling, and trigger catastrophic hemodynamic collapse. And when pulmonary embolism is the cause? That RV may already be operating on the edge. Before you tube: PREPARE. 💨 Optimize oxygenation 🩸 Support RV perfusion 🫁 Avoid unnecessary airway pressures 💊 Have hemodynamic support ready 🫀 Treat the cause of the pulmonary hypertension ⚠️ And remember: the ventilator can affect the circulation. If you MUST intubate a patient with severe RV failure, think beyond the airway. The airway may be the problem you can see. The RV may be the problem that kills them. Follow for more high-yield emergency medicine, critical care, airway, ventilator, and resuscitation pearls. #EmergencyMedicine #CriticalCare #Intubation #PulmonaryHypertension #airways

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Tuesday 22 September 2026 23:30:31 GMT