What are some optimal airway management strategies for a non-fasted, hypoxemic patient unresponsive to increased FiO2? Increasingly agitated and incoherent, he or she begins to tear away the non-rebreather. SaO2 is drifting into the low 70s. What do you do? RSI?

Scott Weingart is advocating for a so-called delayed sequence intubation in this patient population. Sounds like it's basically procedural sedation (ketamine or dexmedetomidine) to allow for preoxygenation (often CPAP) prior to induction.

If you're registered at www.airwayworld.com you can view a webinar he presented on the subject.

Thoughts?