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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.
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 ...
Broselow tape is a tool used to help facilitate rapid and accurate equipment sizing decisions in pediatric emergency situations. Supraglottic airway devices, direct laryngoscopy, indirect video laryngoscopy, and fiberoptic intubation are all techniques which can be used to secure the pediatric airway.
To perform an intubation, the health care provider should be able to perform the steps of rapid sequence intubation (preparation, preoxygenation, pretreatment, paralysis and sedation, positioning, placement of tube, postintubation management). [5]
Endotracheal intubation carries with it many risks, particularly when paralytics are used, as maintenance of the airway becomes a challenge if intubation fails. It should therefore be attempted by experienced personnel, only when less invasive methods fail or when it is deemed necessary for safe transport of the patient, to reduce risk of ...
Regardless of the laboratory values, these guidelines are always interpreted in the clinical context. [6] ... Rapid sequence induction and intubation (RSI) is a ...
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 ...
In most jurisdictions, the EMT-I operates under the same protocols as a paramedic. There are a few procedures that only EMT-intermediates cannot perform, including rapid sequence intubation, surgical cricothyrotomy, and needle cricothyrotomy. In 2020, Virginia began phasing out the EMT-I. Existing EMT-intermediates may continue to practice and ...