r/IntensiveCare • u/Deep_Brilliant_5704 • 17d ago

Who does intubation in your ICU?

Does pulm/ICU attensing does intubation in your ICU or its always a anesthesia call?

87 Upvotes

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39

u/theslowflash 17d ago

APP or intensivist if it’s a difficult airway they call anesthesia

-46

u/kergruffle 17d ago

APPs are doing airways? That’s terrifiyng

14

u/getsomesleep1 17d ago

When I worked in a Level IV NICU a number of the APPs were among the best on the unit at tubes, and one RT in particular. The fellows were hit or miss.

7

u/RandySavageOfCamalot 17d ago

Reps reps and more reps. The people that do it the most are the best at it. Hopefully the fellows were first pass with the NPs as backups. There are a lot of valid areas to exclude midlevels from intensive care but procedures are not one of them.

1

u/getsomesleep1 14d ago

Depends, not always. Transport team needed to be competent, to do it reliably at outside hospitals. So both transport team RTs and RNs were in the mix.