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084f2db8c6 resuce from a hostile environment) RSI in a ward environment consider transfer to recovery/ ICU for RSI exercise crowd control adjust and move beds and other equipment as required ensure access to the patient consider the needs of other patients nearby References and Links LITFL CCC Paediatric Rapid Sequence Intubation CCC Preoxygenation CCC Intubation, Hypotension and Shock CCC Difficult Airway Algorithms CCC Direct Laryngoscopy CCC Cricoid Pressure Journal articles Bernhard M et al. p.780. It differs from other forms of anesthesia induction in that artificial ventilation is generally not provided from the time the patient stops breathing (when drugs are given) until after intubation has been achieved. Stewart JC, Bhananker S, Ramaiah R. However BURP is useful sometimes in difficult intubations, specially in patients with anterior larynx. Anesthesia, Volume 1 (5th ed.). ^ Warner KJ, Sharar SR, Copass MK, Bulger EM (April 2009). For these challenging cases, awake fiberoptic intubation is usually preferred. Rapid-sequence intubation and cricoid pressure. Paralysis with induction.
Collections ECG Library Tox Library CCC Tables Top 100 Exams September 2, 2016LITFL: Life in the Fast Lane Medical BlogEmergency medicine and critical care medical education blog HOME Critical Care Compendium Rapid Sequence Intubation (RSI)Rapid Sequence Intubation (RSI) TweetPocketReviewed and revised 18June 2015 OVERVIEW Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the emergency airway the cessation of spontaneous ventilation involves considerable risk if the provider does not intubate or ventilate the patient in a timely manner RSI is particularly useful in the patient with an intact gag reflex, a full stomach, and a life threatening injury or illness requiring immediate airway control modified RSI is a term sometimes used to describe variations on the classic RSI approach (e.g. Int J Crit Illn Inj Sci [serial online] 2014 [cited2014 Apr 19];4:42-9. Contents 1 Common medications 1.1 Sedation 1.2 Paralytics 1.3 Other medications 2 Technique 2.1 Preparation 2.2 Preoxygenation 2.3 Pretreatment 2.4 Paralysis with induction 2.5 Positioning 2.6 Placement of tube 2.7 Postintubation management 3 Additional considerations 4 Controversy 5 References 6 External links . Other medications. sepsis) D unresponsive to pain, terminate seizure, prevent secondary brain injury E temperature control (e.g. In Miller, RD. Rapid sequence induction (RSI), also described as rapid sequence intubation or as rapid sequence induction and intubation (RSII), is an advanced airway management medical procedure used to achieve tracheal intubation under general anesthesia in patients who are at high risk of pulmonary aspiration. Anesth Analg. ^ Nancy Caroline: Emergency Care in the Streets 7th Ed. The use of nasal oxygen during pre-oxygenation and continued during apnea can prevent hypoxia before and during intubation, even in extreme clinical cases..