Bag-mask ventilation in rapid sequence induction

2015 ◽  
Vol 32 (6) ◽  
pp. 446-448 ◽  
Author(s):  
James P.R. Brown ◽  
Gavin C. Werrett
Keyword(s):  
Rapid Sequence Induction ◽  
Mask Ventilation ◽  
Rapid Sequence ◽  
Sequence Induction ◽  
Bag Mask Ventilation

scholarly journals Mask ventilation

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1683
Author(s):  
Paul Baker
Keyword(s):  
Tracheal Intubation ◽  
Muscle Relaxation ◽  
Rapid Sequence Induction ◽  
Loss Of Consciousness ◽  
Mask Ventilation ◽  
Safe Patient Care ◽  
Rapid Sequence ◽  
Ventilation Technique ◽  
Sequence Induction ◽  
Effective Ventilation

Effective mask ventilation is an essential skill for any practitioner engaged in airway management. Recent methods to objectively describe mask ventilation using waveform capnography help practitioners to monitor and communicate the effectiveness of mask ventilation. Gentle mask ventilation is now considered acceptable during rapid sequence induction/intubation after loss of consciousness, hence reducing the incidence of hypoxia prior to tracheal intubation. Mask ventilation can be enhanced with muscle relaxation, a double C-E grip, and jaw thrust. This is particularly relevant for patients with reduced apnoea time. An awareness of the complications associated with mask ventilation may help reduce the morbidity associated with this technique. Effective ventilation technique and optimum device selection are important aspects for resuscitation of the newborn. Teaching correct establishment and maintenance of mask ventilation is essential for safe patient care. This review will examine some of the latest developments concerning mask ventilation for adult and paediatric patients.

Airway

2020 ◽  
pp. 79-117
Author(s):  
Jules Cranshaw ◽  
Tim Cook
Keyword(s):  
Risk Factors ◽  
Management Strategies ◽  
Rapid Sequence Induction ◽  
Tracheal Extubation ◽  
Online Resources ◽  
Mask Ventilation ◽  
Endobronchial Intubation ◽  
Rapid Sequence ◽  
Sequence Induction ◽  
Oesophageal Intubation

This chapter covers the guidelines for airway emergencies in anaesthesia. Strategies, checklists, and flowcharts are presented for the management of unexpected difficult mask ventilation and difficult intubation, e.g. ‘Cannot intubate, cannot oxygenate’ (CICO) and front of neck airway (FONA), partial airway obstruction, rapid sequence induction, laryngospasm, endobronchial intubation, oesophageal intubation, aspiration, airway fire, and difficult tracheal extubation. Definitions, presentation, management strategies, investigations, risk factors, exclusions and causes, and any special considerations (e.g. paediatric implications) for each airway-related situation are covered. Lists of up-to-date online resources and further reading are also provided here, offering invaluable know-how to encourage the reader to broaden their knowledge.

Airway

2009 ◽  
pp. 65-104
Keyword(s):  
Emergency Management ◽  
Difficult Intubation ◽  
Rapid Sequence Induction ◽  
Tracheal Extubation ◽  
Mask Ventilation ◽  
Rapid Sequence ◽  
Sequence Induction ◽  
Bronchial Intubation ◽  
Oesophageal Intubation ◽  
Unexpected Difficulty

Difficult mask ventilation 66 Unanticipated difficult intubation 68 Can’t intubate … can’t ventilate (CICV) 76 Emergency management of the obstructed airway 80 Rapid sequence induction 86 Oesophageal intubation 90 Bronchial intubation 92 Laryngospasm 94 Aspiration 96 Difficult tracheal extubation 100 Airway fire 102 Unexpected difficulty in mask ventilation of the anaesthetized patient....

scholarly journals Introduction of a Rapid Sequence Induction Checklist and its effect on Compliance to Guidelines and Complications

2021 ◽  
Author(s):  
Jakob Zeuchner ◽  
Jonas Graf ◽  
Louise Elander ◽  
Jessica Frisk ◽  
Mats Fredrikson ◽  
...  
Keyword(s):  
Rapid Sequence Induction ◽  
Rapid Sequence ◽  
Sequence Induction

scholarly journals Rapid sequence induction: where did the consensus go?

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Pascale Avery ◽  
Sarah Morton ◽  
James Raitt ◽  
Hans Morten Lossius ◽  
David Lockey
Keyword(s):  
Cricoid Pressure ◽  
Rapid Sequence Induction ◽  
Hospital Environment ◽  
Training Technique ◽  
Rapid Sequence ◽  
Gastric Aspiration ◽  
Sequence Induction ◽  
The Uk ◽  
Key Aspects ◽  
Risk Of Aspiration

Abstract Background Rapid Sequence Induction (RSI) was introduced to minimise the risk of aspiration of gastric contents during emergency tracheal intubation. It consisted of induction with the use of thiopentone and suxamethonium with the application of cricoid pressure. This narrative review describes how traditional RSI has been modified in the UK and elsewhere, aiming to deliver safe and effective emergency anaesthesia outside the operating room environment. Most of the key aspects of traditional RSI – training, technique, drugs and equipment have been challenged and often significantly changed since the procedure was first described. Alterations have been made to improve the safety and quality of the intervention while retaining the principles of rapidly securing a definitive airway and avoiding gastric aspiration. RSI is no longer achieved by an anaesthetist alone and can be delivered safely in a variety of settings, including in the pre-hospital environment. Conclusion The conduct of RSI in current emergency practice is far removed from the original descriptions of the procedure. Despite this, the principles – rapid delivery of a definitive airway and avoiding aspiration, are still highly relevant and the indications for RSI remain relatively unchanged.

COVID-19: Intensivmedizinische Aspekte und Langzeitfolgen

2020 ◽  
Author(s):  
Raphael Romano Bruno ◽  
Georg Wolff ◽  
Malte Kelm ◽  
Christian Jung
Keyword(s):  
Rapid Sequence Induction ◽  
High Flow ◽  
Ältere Personen ◽  
Rapid Sequence ◽  
Sind Eine ◽  
Sequence Induction ◽  
Thrombembolische Komplikationen ◽  
Invasive Beatmung

ZusammenfassungEtwa 14% der COVID-19-Patienten weisen einen schwereren und ca. 5% einen kritischen Krankheitsverlauf auf. Besonders gefährdet sind ältere Personen, männliches Geschlecht, Raucher und stark adipöse Menschen. Wird der Patient invasiv oder nichtinvasiv beatmet, so steigt die Mortalität auf 53% respektive 50% an. In der Regel beträgt die Dauer vom Beginn der Symptome bis zur Aufnahme auf die Intensivstation 10 Tage. Die mittlere Verweildauer auf der Intensivstation beträgt 9 Tage. Für die Priorisierung sind die klinische Erfolgsaussicht einer intensivmedizinischen Behandlung sowie der Wunsch des Patienten maßgebend. Zentrale Kriterien für die Aufnahme auf die Intensivstation sind eine Hypoxämie (SpO2 < 90% unter 2 – 4 Liter Sauerstoff/min bei nicht vorbestehender Therapie), Dyspnoe, eine erhöhte Atemfrequenz (> 25 – 30/min) und ein systolischer Blutdruck ≤ 100 mmHg. Der Schutz des Personals genießt bei allen Maßnahmen Vorrang. Alle aerosolgenerierenden Prozeduren sollten nur mit großer Vorsicht erfolgen. Wird unter High Flow keine adäquate Oxygenierung erreicht (SpO2 ≥ 90% oder ein paO2 > 55 mmHg), sollte über eine Eskalation nachgedacht werden (NIV, invasive Beatmung). Die Patienten sollten lungenprotektiv beatmet werden. Die Intubation sollte als Rapid Sequence Induction erfolgen. Eine ECMO kann erwogen werden. Thrombembolische Komplikationen sind sehr häufig. Antibiotika sollten nicht routinemäßig gegeben werden. Die aktuell beste Datenlage liegt für Dexamethason vor. Remdesivir kann die Rekonvaleszenz beschleunigen. Langzeitfolgen nach COVID-19 sind sehr häufig. Kardiale, pulmonale und neurologische Probleme stehen dabei im Vordergrund.

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