He keeps trying to pull away.
We're giving him some more sedation.
Why is he so agitated?
He could have some awareness of the tube in his throat or that he's in a strange place, or it could be lack of oxygen to his brain.
Does he need more oxygen?
He's on 100%. That's as high as it goes. [vitals monitor beeps loudly] That is his blood pressure dropping.
Oh, is that even fixable?
Normally, yes, with IV fluids, but we now know that that will just fill up his lungs, drop his oxygen even more.
Well, isn't there something else we can do?
We can place a long, large IV catheter in his jugular vein down into his heart and administer Levophed, which is a very powerful medicine to constrict his arteries, raise his blood pressure. But that could cause other organ damage, organ failure. I'm really sorry, but each new step is even more invasive, could cause more suffering with minimal benefit.
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