What strategies do you employ to minimize the risk of cardiovascular collapse when intubating a patient with severe pulmonary hypertension?

Intubating patients with pulmonary hypertension is a challenging medical and critical care situation. Generally, I try to apply principles of right ventricular optimization of care before I proceed with endotracheal intubation.

Intubating patients with pulmonary hypertension is a challenging medical...

Intubation with impending RV failure is a frequently encountered challenge. Attempts to avoid intubation are recommended but the hypoxemia is harmful as well. Prior optimization with pressors is important. I usually have iNO on as well to decrease after load. I also let the ECMO team in case they ha...