This article describes tools for the procedure of RSI, including the “7 Ps” checklist of intubation. Identification of difficult airways, using mnemonics and standardized criteria prior to the procedure allows, the clinician additional time for assimilation of additional resources and tools to increase the likelihood of first-pass success with intubation. For providers in these settings, a deeper understanding of the indications, associated medications, and adjunctive techniques may maximize success with this common procedure. “Within emergency care settings, rapid sequence intubation (RSI) is frequently used to secure a definitive airway (i.e., endotracheal tube) to provide optimal oxygenation and ventilation in critically ill patients of all ages. Maximizing Success With Rapid Sequence Intubations. Rapid-sequence intubation: a review of the process and considerations when choosing medications. Sedation practices post-RSI were not consistent with current practice guidelines and most receiving a non-depolarizing paralytic did not receive adequate sedation post-RSI.” An additional 13% given succinylcholine had contraindications. Rapid sequence intubation (RSI) provides definitive airway management for severely ill and injured patients presenting to the pediatric emergency department (PED). Succinylcholine was given to 67% of patients with baseline bradycardia and was significantly associated with bradycardia post-RSI. Ketamine was associated with hypotension post-RSI and use was low with traumatic brain injury/stroke (1.5%).
Etomidate was administered to 58% with sepsis, but was not associated with adrenal insufficiency. Minimum of 3: Airway Proceduralist, Airway Assistant, Drug administrator. Rapid Sequence Intubation (RSI) To facilitate emergency intubation and reduce the incidence of complications, skilled, experienced providers may use sedatives, neuromuscular blocking agents, and other medications to rapidly sedate and neuromuscularly block the pediatric patient. Significant differences in medication use by provider type were seen. OVERVIEW Rapid sequence intubation (RSI) is an airway management technique that. See critical care quick reference for pre-calculated airway sizes by weight. Intubation (peds) This page is for pediatric patients. During RSI, 21%, 87%, and 77% received pre-induction, induction, and paralysis, respectively. We need you See something you could improve Make an edit and help improve WikEM for everyone. “A total of 404 patients from 34 geographically diverse institutions were included (mean age 58 ± 22 years, males 59%, pediatric 8%). Current practices and safety of medication use during rapid sequence intubation.
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