27th May 2025

An 85-year-old female was admitted to a rehabilitation unit following a middle cerebral artery stroke.

An 85-year-old female was admitted to a rehabilitation unit following a middle cerebral artery stroke. Day four post-admission, she developed a cough, fever and difficulty in breathing. 

Subsequent ABG showed her to be in type 2 respiratory failure. Despite optimal medical management, she continued to deteriorate. Her GCS dropped to 8. What is the next best suitable management plan?

Select the SINGLE most appropriate option from the list below. Select ONE option only.