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Rapid sequence intubation refers to the pharmacologically induced sedation and neuromuscular paralysis prior to intubation of the trachea. The technique is a quicker form of the process normally used to induce general anesthesia. A useful framework for describing the technique of RSI is the "seven Ps". [27]
Etomidate [3] (USAN, INN, BAN; marketed as Amidate) is a short-acting intravenous anaesthetic agent used for the induction of general anaesthesia and sedation [4] for short procedures such as reduction of dislocated joints, tracheal intubation, cardioversion and electroconvulsive therapy.
Among all NMBA, Succinylcholine establish the most stable and fastest intubating conditions, thus is considered as the preferred NMBA for rapid sequence induction and intubation (RSII). [12] Alternatives for succinylcholine for RSII include high dose rocuronium (1.2mg/kg which is a 4 X ED95 dose), or avoidance of NMBAs with a high dose ...
Anterior cricoid pressure was considered the standard of care during Rapid Sequence Intubation for many years. [13] The American Heart Association , until the 2010 science update, advocated the use of cricoid pressure during resuscitation using a BVM , and during emergent oral endotracheal intubation; [ 14 ] effective 2010, use of Cricoid ...
Its use has been largely replaced with that of propofol, but may retain some popularity as an induction agent for rapid-sequence induction and intubation, such as in obstetrics. [12] Following intravenous injection, the drug rapidly reaches the brain and causes unconsciousness within 30–45 seconds. At one minute, the drug attains a peak ...
Tracheal intubation, often simply referred to as intubation, is the placement of a flexible plastic or rubber endotracheal tube (ETT) into the trachea to maintain an open airway, allow for effective ventilation, protect the airway from aspiration (when a cuffed ETT is used), and to serve as a conduit through which to administer inhaled anesthetics.
First line drugs for treatment of common problems such as: adenosine, dextrose, epinephrine for IM use, naloxone, nitroglycerin, and others; Drugs for rapid sequence intubation: succinylcholine or another paralytic, and a sedative such as etomidate, propofol or midazolam; endotracheal tubes and other intubating equipment
As an example sequence of induction drugs: Pre-oxygenation or denitrogenation to fill lungs with 100% oxygen to permit a longer period of apnea during intubation without affecting blood oxygen levels; Fentanyl for systemic analgesia during intubation; Propofol for sedation for intubation