Resuscitation Review Blog
Mechanical ventilation

When the Ventilator Causes Shock: A Bedside Framework for Post-Intubation Collapse

When a patient crashes after intubation, the airway is often blamed.

Sometimes the tube is in the wrong place.

Sometimes the ventilator has changed the physiology.

Post-intubation collapse should trigger a fast, structured differential.

First, confirm oxygenation and tube position. Esophageal intubation, right mainstem intubation, tube obstruction, mucus plugging, and equipment failure must be considered immediately.

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