rapid sequence intubation


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rap·id se·quence in·tu·ba·tion

(RSI) (rap'id sē'kwĕns in'tū-bā'shŭn)
Endotrachealintubation performed on a patient to whom a paralytic drug has been administered. Used with prehospital care in combative or head-injured patients.

rapid sequence intubation

Abbreviation: RSI
An airway control technique that uses powerful sedatives and paralytic drugs to quickly gain control of the airway, e.g., in life-threatening emergencies.
See also: intubation
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References in periodicals archive ?
A national Internet survey on rapid sequence intubation patterns from Turkey.Int J Emerg Med.
Rapid sequence intubation (RSI) and crash intubations are two different approaches for ETI in an emergency situation.
Of the 124 patients, 37 (30%) were managed with basic airway management, 8 (7%) were intubated without drugs, 13 (11%) underwent rapid sequence intubation (RSI), 55 (44%) were managed with sedation-assisted intubation.
Rapid sequence intubation (RSI) minimizes the time between the loss of consciousness and tracheal intubation.
Pre-hospital rapid sequence intubation. Rapid sequence intubation (RSI) has become widespread as the procedure of choice for definitive airway management by pre- and in-hospital emergency care worldwide.
In emergency situations, Rapid sequence intubation is often chosen over other intubation techniques because simultaneous onset of deep sedation and paralysis, followed by securing patient's airway smoothly and quickly minimizes the chances of regurgitation and aspiration of gastric contents.
The safety of etomidate for rapid sequence intubation (Abstract).
Succinylcholine is the commonly used muscle relaxant for rapid sequence intubation due to its fast onset, excellent intubating conditions and short time course of action on the diaphragm and adductor muscles of the larynx involved in respiration and airway protection.
Though Rocuronium use is controversial, because this patient had full stomach, Papilledema with severe raise in ICP, so instead of suxamethonium we used rocuronium for rapid sequence intubation weighing the risk-benefits.
It is now also frequently, though not universally, avoided in rapid sequence intubations, as high dose rocuronium is proving to be a viable alternative.

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