RT Book, Section
A1 Nasr, Ned F.
A1 Al-Jindi, Piotr C.
A1 Nasr, Isam F.
A2 Reichman, Eric F.
SR Print(0)
ID 1159794308
T1 Rapid Sequence Intubation
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159794308
RD 2023/09/29
AB Rapid  sequence  intubation  (RSI)  of  anesthesia  is  sometimes  referred  to  as  a  “crash”  intubation.  The  definition  of  RSI  is  the  near  simultaneous  administration  of  a  neuromuscular  blocking  drug  and  a  sedative  to  induce  unconsciousness  and  paralysis  for  endotracheal  intubation.  It  has  become  a  safe  and  effective  method  of  establishing  emergent  airway  control  in  patients  with  suspected  life-threatening  emergencies.  It  ensures  optimal  patient  compliance  in  the  best  possibly  controlled  environment  that  can  be  achieved  in  the  Emergency  Department  (ED).  RSI  in  its  classical  description  involves  preoxygenation  followed  by  the  near  simultaneous  administration  of  a  potent  sedative-hypnotic  agent  and  a  neuromuscular  blocking  agent,  application  of  cricoid  pressure,  avoidance  of  positive-pressure  ventilation  by  mask,  and  intubation  with  a  cuffed  endotracheal  tube.1-21  Various  pretreatment  drug  regimens  have  been  advocated  to  prevent  the  potentially  deleterious  side  effects  of  aspiration  of  gastric  contents,  cardiovascular  excitation  or  depression,  and  intracranial  pressure  elevation.