A standardized rapid sequence intubation protocol facilitates airway management in critically injured patients

2012 ◽  
Vol 73 (6) ◽  
pp. 1401-1405 ◽  
Author(s):  
Shana L. Ballow ◽  
Krista L. Kaups ◽  
Staci Anderson ◽  
Michelle Chang
Keyword(s):  
Airway Management ◽  
Rapid Sequence Intubation ◽  
Rapid Sequence ◽  
Injured Patients

scholarly journals Pro-Con Debate: Etomidate or Ketamine for Rapid Sequence Intubation in Pediatric Patients

2012 ◽  
Vol 17 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Daniel Scherzer ◽  
Mark Leder ◽  
Joseph D. Tobias
Keyword(s):  
Airway Management ◽  
Critically Ill ◽  
Safety Concern ◽  
Essential Element ◽  
Blocking Agent ◽  
Neuromuscular Blocking ◽  
Critically Ill Children ◽  
Rapid Sequence Intubation ◽  
Airway Control ◽  
Rapid Sequence

When caring for critically ill children, airway management remains a primary determinant of the eventual outcome. Airway control with endotracheal intubation is frequently necessary. Rapid sequence intubation (RSI) is generally used in emergency airway management to protect the airway from passive regurgitation of gastric contents. Along with a rapid acting neuromuscular blocking agent, sedation is an essential element of RSI. A significant safety concern regarding sedatives is the risk of hypotension and cardiovascular collapse, especially in critically ill patients or those with pre-existing comorbid conditions. Ketamine and etomidate, both of which provide effective sedation with limited effects on hemodynamic function, have become increasingly popular as induction agents for RSI. However, experience and clinical investigations have raised safety concerns associated with both etomidate and ketamine. Using a pro-con debate style, the following manuscript discusses the use of ketamine versus etomidate in RSI.

An Exploratory Study Comparing Ketamine v. Etomidate for Rapid Sequence Intubation in Traumatically Injured Patients

2013 ◽  
Vol 62 (4) ◽  
pp. S30
Author(s):  
J. Kadish ◽  
P. Salen ◽  
M. Genzlinger ◽  
M. Grossman ◽  
J. Stoltzfus ◽  
...  
Keyword(s):  
Exploratory Study ◽  
Rapid Sequence Intubation ◽  
Rapid Sequence ◽  
Injured Patients

scholarly journals Airway Management in Accident and Emergency

2021 ◽  
Author(s):  
Kemal Tolga Saracoglu ◽  
Gul Cakmak ◽  
Ayten Saracoglu
Keyword(s):  
Airway Management ◽  
Rapid Sequence Intubation ◽  
Training Materials ◽  
Accident And Emergency ◽  
Rapid Sequence ◽  
Surgical Airway ◽  
Tracheobronchial Injury ◽  
Airway Devices ◽  
Stabilization Technique ◽  
Extraglottic Airway Devices

Accidents are associated with airway complications. Tracheobronchial injury, pneumothorax, pneumomediastinum, atelectasis, and subcutaneous emphysema can be observed. Therefore airway management in emergency medicine requires skills and equipment. Rapid-sequence intubation, effective preoxygenation, apneic oxygenation, manual inline stabilization technique should be used properly. Rapid-sequence intubation consists of sedation, analgesia, and muscle paralysis components. Videolaryngoscopes, supraglottic and extraglottic airway devices, bougie and surgical airway tools are among training materials. A range of training materials have been described to improve providers’ understanding and knowledge of patient safety. In conclusion providing oxygenation, minimizing the risk of complications and choosing the appropriate devices constitute the airway management’s pearls.

scholarly journals Airway management of an open penetrating neck injury

CJEM ◽  
2015 ◽  
Vol 17 (1) ◽  
pp. 89-93 ◽  
Author(s):  
Nayer Youssef ◽  
Karen E. Raymer
Keyword(s):  
High Risk ◽  
Airway Management ◽  
Rapid Sequence Intubation ◽  
Positive Pressure ◽  
Small Subset ◽  
Global Management ◽  
Airway Injury ◽  
Rapid Sequence ◽  
Penetrating Neck Injury ◽  
Bag Mask Ventilation

AbstractAlthough penetrating neck injuries (PNIs) represent a small subset of patients presenting to the emergency department (ED), they can result in significant morbidity and mortality. The approach to airway management in PNI varies widely according to clinical presentation and local practice, such that global management statements are lacking. Although rapid sequence intubation (RSI) may be safe in most patients with PNI, the high-risk subset (10%) of patients with laryngotracheal injury require particularly judicious airway management. It is not known if RSI is safe in such patients, nor has there been reported use of videolaryngoscopy in patients with open PNI. Established principles of airway management in patients with an open airway injury include the avoidance of both positive pressure bag-mask ventilation and blind tube passage and the early consideration of a surgical airway. Because this high-risk subset may not be clinically apparent on initial presentation in the ED, such guiding principles apply to all patients with PNI until the nature of the injury is more accurately defined. In this report, we present the case of a patient who presented to the ED with a zone II open PNI, which occurred as a result of a stab wound.

The Impact of Hypoxia and Hyperventilation on Outcome after Paramedic Rapid Sequence Intubation of Severely Head-Injured Patients

2004 ◽  
Vol 57 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Daniel P. Davis ◽  
James V. Dunford ◽  
Jennifer C. Poste ◽  
Mel Ochs ◽  
Troy Holbrook ◽  
...  
Keyword(s):  
Rapid Sequence Intubation ◽  
Rapid Sequence ◽  
Head Injured ◽  
Injured Patients ◽  
The Impact
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