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- Q376584 subject Q8412340.
- Q376584 subject Q9742278.
- Q376584 abstract "Rapid sequence induction, also described as rapid sequence intubation (RSI), is an advanced airway management medical procedure used to achieve tracheal intubation under general anesthesia in patients who are at high risk of pulmonary aspiration. RSI involves pre-filling the patient's lungs with a high concentration of oxygen gas, followed by administering rapid-onset hypnotic and neuromuscular-blocking drugs that induce prompt unconsciousness and paralysis, allowing insertion of an endotracheal tube with minimal delay. Traditionally, unlike other methods of anaesthesia induction, no artificial ventilation is provided from the time that drugs are administered until after intubation has been achieved; this minimises insufflation of air into the stomach, which might otherwise lead to regurgitation. For the same reason, cricoid pressure may also be used until after the tube has been secured.The procedure is used where general anesthesia must be induced before the patient has had time to fast long enough to empty the stomach; where the patient has a condition that makes aspiration more likely during induction of anesthesia, regardless of how long they have fasted (such as gastroesophageal reflux disease or advanced pregnancy); or where the patient has become unable to protect their own airway even before anesthesia (such as after a traumatic brain injury).The induction drugs traditionally used for RSI have short durations of action, wearing off after only minutes. This confers a degree of fault tolerance on the procedure when it is used in elective or semi-elective settings: if intubation is unsuccessful, and if the clinical condition allows it, the procedure may be abandoned and the patient should regain the ability to protect their own airway sooner than would be the case under routine methods of induction. Conversely, in emergency settings where the patient's condition does not allow for them to be woken up immediately, a failed intubation under RSI places them at very high risk for respiratory compromise.".
- Q376584 thumbnail Endotracheal_tube_colored.png?width=300.
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- Q376584 comment "Rapid sequence induction, also described as rapid sequence intubation (RSI), is an advanced airway management medical procedure used to achieve tracheal intubation under general anesthesia in patients who are at high risk of pulmonary aspiration.".
- Q376584 label "Rapid sequence induction".
- Q376584 depiction Endotracheal_tube_colored.png.