Tracheal intubation (TI) is a routine procedure on the ICU. Complications related to TI are some of the most frequent and rather underrated problems in the critical care setting.
Patients requiring TI on the ICU usually suffer from organ dysfunction of various severity and very often have poor organ reserves. The lack of time for adequate evaluation and pre-oxygenation of these patients often results in hypoxemia and subsequently a cardiac arrest.
It is recommended to apply difficult airway algorithms used in operating theatres to the intensive care environment. Preparation of "bundles of tracheal intubation" and its implementatation to the clinical practice can be a useful strategy for airway management in intensive care.