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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]
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 ...
Rapid sequence induction and intubation (RSI) is a particular method of induction of general anesthesia, commonly employed in emergency operations and other situations where patients are assumed to have a full stomach.
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 ...
The Sellick maneuver was considered the standard of care during rapid sequence induction for many years. [3] The American Heart Association still advocates the use of cricoid pressure during resuscitation using a BVM, and during emergent oral endotracheal intubation. [4]
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.
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Drugs for rapid sequence intubation: succinylcholine or another paralytic, and a sedative such as etomidate, propofol or midazolam; endotracheal tubes and other intubating equipment; Drugs for peripheral and central venous access; Electronic metronome to provide standardized auditory cadence cues during CPR