Why is RSI controversial?

The ban of using positive pressure ventilation (PPV) controversy. The original protocol of RSI advised to avoid using PPV. Allowing the use of PPV is feared to cause gastric inflation which may lead to pulmonary aspiration.

What is the greatest complication with rapid sequence intubation?

What are possible complications of rapid sequence intubation (RSI)?

Esophageal intubation.
Iatrogenic induction of an obstructive airway.
Right mainstem intubation.
Pneumothorax.
Dental trauma.
Postintubation pneumonia.
Vocal cord avulsion.
Failure to intubate.

Why is rapid sequence induction the preferred method of intubation in the emergency department?

RSI is the preferred method of endotracheal tube intubation (ETTI) in the emergency department (ED). This is because it results in rapid unconsciousness (induction) and neuromuscular blockade (paralysis).

How do you RSI a patient?

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.

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.

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.

Why is RSI controversial? The ban of using positive pressure ventilation (PPV) controversy. The original protocol of RSI advised to avoid using PPV. Allowing the use of PPV is feared to cause gastric inflation which may lead to pulmonary aspiration. What is the greatest complication with rapid sequence intubation? What are possible complications of rapid…