What are the 7 steps of rapid sequence intubation?

What are the 7 steps of rapid sequence intubation?

PROCESS OF RSI

• Plan.
• Preparation (drugs, equipment, people, place)
• Protect the cervical spine.
• Positioning (some do this after paralysis and induction)
• Preoxygenation.
• Pretreatment (optional; e.g. atropine, fentanyl and lignocaine)
• Paralysis and Induction.
• Placement with proof.

How do you do a rapid sequence induction?

Rapid sequence induction (RSI) is an established method of inducing anaesthesia in patients who are at risk of aspiration of gastric contents into the lungs. It involves loss of consciousness during cricoid pressure followed by intubation without face mask ventilation.

What is the purpose of rapid sequence intubation?

Rapid sequence induction and intubation (RSII) for anesthesia is a technique designed to minimize the chance of pulmonary aspiration in patients who are at higher than normal risk.

When should RSI be performed?

RSI should be approached with caution in a patient with a suspected difficult airway. If difficulty is anticipated, then an awake technique or the use of airway adjuncts (eg, fiberoptic intubation) is recommended.

What is the difference between rapid sequence intubation and regular intubation?

One important difference between RSI and routine tracheal intubation is that the practitioner does not typically manually assist the ventilation of the lungs after the onset of general anesthesia and cessation of breathing, until the trachea has been intubated and the cuff has been inflated.

Can you intubate without a paralytic?

Facilitated intubation, also known as medication-facilitated intubation (MFI) or sedation-facilitated intubation, refers to intubation performed using a sedative or anesthetic drug as an induction agent, without the use of a paralytic (neuromuscular blocking agent).

What drugs are used in rapid sequence intubation?

[4] Common sedative agents used during rapid sequence intubation include etomidate, ketamine, and propofol. Commonly used neuromuscular blocking agents are succinylcholine and rocuronium. Certain induction agents and paralytic drugs may be more beneficial than others in certain clinical situations.

Can you intubate a conscious patient?

So who can be intubated awake? Any patient except the crash airway can be intubated awake. If you think they are a difficult airway, temporize with NIV while you topically anesthetize and then do the patient awake while they keep breathing.

What happens during rapid sequence intubation?

This entails gathering and testing the supplies needed (endotracheal tubes, stylet, blades, handles, drugs, alternate airway methods) as well as planning for a surgical airway if orotracheal intubation ultimately fails. This step also involves stratifying the difficulty level of the patient’s airway.

What is the difference between RSI and intubation?

Why do we give paralytics for intubation?

improves intubating conditions. makes ventilation easier. prevents the patient from interfering with peri-intubation procedures should sedation wear off. allowing the patient to wake is virtually never an option in the critically ill patient requiring intubation (proceed to surgical airway in the CICV situation)

Why do you need a paralytic for intubation?

The combination of administering a sedative with a neuromuscular blocking agent renders the patient unconscious and induces flaccid paralysis to facilitate placement of an endotracheal tube into the airway and also minimizes the risk of aspiration[4].

Rapid Sequence Intubation (RSI) 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.

How long does Rapid Sequence Intubation ( EMRA ) last?

Ketamine: 1.5 mg/kg IV or 4 mg/kg IM, onset in <1 minutes, lasts 10-20 minutes. Popular choice as it does triple duty as an anesthetic, amnestic, and analgesic. It causes bronchodilation and a catecholamine surge resulting in increased blood pressures and heart rate.

Which is the best treatment for rapid sequence induction?

Discuss Rapid Sequence Induction (RSI) a) Preparation b) Sedation c) Paralysis d) Post-intubation management 3. Review Current Literature Airway Management Continuum Nasal Cannula Face Mask/ Jaw thrust Oral airway /Nasal airway NIPPV/LMA/I- Gel Intubation Surgical Airway Least Invasive Most Invasive RSI

When to use RSI in tracheal intubation?

Choosing the appropriate premedication, induction drug, and paralytic will maximize the success of tracheal intubation and minimize complications. RSI is used to secure a definitive airway in often uncooperative, nonfasted, unstable, and/or critically ill patients.