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In anaesthesia and advanced airway management, rapid sequence induction (RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction [1] – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration.
The objective of RSI is to minimize the possibility of regurgitation and pulmonary aspiration of gastric contents during the induction of general anesthesia and subsequent tracheal intubation. [34] RSI traditionally involves preoxygenating the lungs with a tightly fitting oxygen mask, followed by the sequential administration of an intravenous ...
Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation.The technique involves the application of pressure to the cricoid cartilage at the neck, thus occluding the esophagus which passes directly behind it.
Pages for logged out editors learn more. Contributions; Talk; Rapid sequence intubation
Rapid sequence intubation is incorrect (and is erroneously used in some manuals and courses), as it is the induction of anaesthesia that is rapid sequence, not the intubation, which is secondary to the procedure, and performed at normal speed, and used to maintain a patent airway after RSI is complete. Indeed, intubation is not necessary, and ...
Short-acting neuromuscular blocking agents are chosen for endotracheal intubation for short procedures (< 30minutes), and neuromonitoring is required soon after intubation. [12] Options include succinylcholine, rocuronium or vecuronium if sugammadex is available for rapid reversal block. [12]
The procedure was first described in 1805 by Félix Vicq-d'Azyr, a French surgeon and anatomist. [3] A cricothyrotomy is generally performed by making a vertical incision on the skin of the throat just below the laryngeal prominence (Adam's apple), then making a horizontal incision in the cricothyroid membrane which lies deep to this point.
When not participating in training work-ups and live missions, the TMP serves to educate and train the team on life-saving medical procedures such as chest tube placement, cricothyrotomy, needle decompression, and rapid sequence intubation. Additionally, the TMP is expected to train with their team in weapons safety and marksmanship, workouts ...
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