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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]
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.
Fluid-attenuated inversion recovery (FLAIR) is a magnetic resonance imaging sequence with an inversion recovery set to null fluids. For example, it can be used in brain imaging to suppress cerebrospinal fluid (CSF) effects on the image, so as to bring out the periventricular hyperintense lesions, such as multiple sclerosis (MS) plaques. [ 1 ]
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
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 ...
For example, digital intubation may be used by a paramedic if the patient is entrapped in an inverted position in a vehicle after a motor vehicle collision with a prolonged extrication time. The decision to use a straight or curved laryngoscope blade depends partly on the specific anatomical features of the airway, and partly on the personal ...
However, the laryngeal instrumentation involved in the intubation process is associated with an acute, brief rise in intracranial pressure. [36] Pretreatment with a sedative agent and neuromuscular blocking agent to induce unconsciousness and motor paralysis has been recommended as part of standard Rapid Sequence Intubation (RSI). [ 36 ]
Endotracheal intubation, cricothyrotomy (surgical airway), delayed and rapid sequence induction (in some jurisdictions), use of magill forceps, airway suctioning. Breathing Assessment (rate, effort, symmetry, skin color), obstructed airway maneuver, supplemental oxygen administration by nasal cannula, rebreathing and non-rebreathing mask ...