READING ASSIGNMENT RAPID SEQUENCE

INTUBATION
 Rapid sequence intubation
• Rapid sequence intubation (RSI) is a technique that is used when
rapid control of the airway is needed as a precaution for patients
who may have a 'full stomach' or other risks of pulmonary
aspiration.
• RSI is that it is a method of achieving a state of very quick
unresponsiveness and paralysis to facilitate a fast and effective
means to control an emergency airway.
• The goal of the technique is to protect the airway with a cuffed
ETT as quickly as possible while minimizing coughing, straining,
and vomiting with secure airway placement.
• This technique is the standard of care for the management of
non-difficult emergency airways.
 Structure and function
• The cricoid cartilage is a ring-shaped
structure that sits below the thyroid
cartilage and above the tracheal rings, at
the level of the C6 vertebra. It is the
only complete cartilaginous ring of the
whole airway.
• cricoid cartilage serves to maintain
airway patency, forms part of the larynx
and provides an attachment point for
key muscles, ligaments, and cartilage,
which function in the opening and
closing the vocal cords for sound
production
 Equipment's for RSI
• There are many supplies necessary in preparation for rapid
sequence intubation:
• Endotracheal tube with an inflatable cuff with sterile lubricant
• Laryngoscope handle and blades Suction machine
• Bag valve mask End-tidal carbon dioxide
monitor
• Induction agents Tracheal tube inducer (bougie)
• Supraglottic airway such as laryngeal mask airway
• Video-assisted laryngoscopy Pulse oximetry
• IV access Push dose pressors
 Rapid Sequence Intubation (RSI) –
Mnemonic Approach
• 0-10 minutes (Possibility of Success): Anticipating difficult
airway.
• 0-10 minutes: Preparation.
• 0-5 minutes: Preoxygenation.
• 0-3 minutes: Pretreatment.
• Zero minutes: Paralysis.
• 0 + 20-30 seconds: Protection and Positioning.
• 0 + 45 seconds: Placement.
CONT…