What is 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.
How do you do a rapid sequence induction?
PROCESS OF RSI
- Preparation (drugs, equipment, people, place)
- Protect the cervical spine.
- Positioning (some do this after paralysis and induction)
- Pretreatment (optional; e.g. atropine, fentanyl and lignocaine)
- Paralysis and Induction.
- Placement with proof.
What is the purpose of rapid sequence induction?
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.
What drugs do they use for rapid induction intubation?
 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.
When do you do rapid sequence induction?
Rapid sequence intubation is indicated for a patient in acute respiratory failure due to poor oxygenation or ventilation, and for a patient that cannot protect their airway due to altered mental status. RSI may also be used in a patient with an acute upper gastrointestinal bleed with a high risk of aspiration.
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.
When is rapid sequence intubation used?
Why is rapid sequence intubation used?
Why is it called rapid sequence intubation?
Technique. 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.
Why is rapid sequence intubation important?
How fast do you push rocuronium?
The recommended initial dose of rocuronium bromide, regardless of anesthetic technique, is 0.6 mg/kg. Neuromuscular block sufficient for intubation (80% block or greater) is attained in a median (range) time of 1 (0.4 to 6) minute(s) and most patients have intubation completed within 2 minutes.
When to use rapid sequence intubation or rapid sequence induction?
Rapid sequence induction. In advanced airway management, rapid sequence induction ( RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation ( RSII) – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration.
Why do we need Rapid Sequence Induction ( RSI )?
Substantial variability in practice exists, therefore institutional factors and clinical circumstances should be considered when determining how to perform an RSI. Rapid sequence induction (RSI) is a method of achieving rapid control of the airway whilst minimising the risk of regurgitation and aspiration of gastric contents.
What are the side effects of rapid sequence induction?
It can cause distal thrombosis and tissue necrosis if given into the arterial system. Paralytics are also known as neuromuscular-blocking drugs (NMB). NMB can reduce the complication rates of rapid sequence induction such as inadequate oxygenation of the blood, airway complications, and instability of the cardiovascular system.
When do you need an intravenous induction of anaesthesia?
Intravenous induction of anaesthesia, with the application of cricoid pressure, is swiftly followed by the placement of an endotracheal tube (ETT). Performance of an RSI is a high priority in many emergency situations when the airway is at risk, and is usually an essential component of anaesthesia for emergency surgical interventions.