What would you do in this case, if the patient could not be adequately ventilated with a mask?

What would you do in this case, if the patient could not be adequately ventilated with a mask?

This clinical situation of local anesthetic overdose and seizure resulting in respiratory insufficiency is likely tem-porary and reversible. It is not related to the patient’s underlying disease state directly. It would be imperative to secure the patient’s airway and begin ventilation with either a mask or an endotracheal tube until baseline mental status is restored. This would be consistent with honoring the patient’s wishes rather than just procedure-directed therapy.

Many patients choose procedure-directed therapy (list of procedures they will and will not accept). This works well to alleviate anxieties but is often inconsistent or impossible to reconcile medically. Goal-directed therapy is preferable in circumstances such as this.