![]() ![]() (1) General endotracheal anesthesia with rapid sequence intubation is used. Complications of emergency intubation with and without paralysis. Li J, Murphy-Lavoie H, Bugas C, Martinez J, Preston C. The choice between them is variable, complex, and multifactorial and not always adapted to the clinical condition. Propofol, ketamine, and etomidate are common IV anesthetic agents used for induction of general anesthesia prior to rapid sequence intubation in critically ill patients ( 2 ). Rapid sequence intubation at an emergency medicine residency: Success rate and adverse events during a two-year period. Intubation in the ICU is a high-risk procedure ( 1 ). MeaningAmong adults at risk of aspiration during rapid sequence intubation in the operating room, remifentanil did not meet the criterion for noninferiority and was statistically inferior to neuromuscular blockers with regard to the rate of successful tracheal intubation without major complications, although the wide confidence interval limits conclusions about the difference. Perform other tests as indicated by the history and physical examination. Rapid sequence intubation and the role of the emergency medicine pharmacist: 2022 update While the agents used in RSI have changed little, knowledge regarding optimal dosing, appropriate patient selection, and possible adverse effects continues to be gained. Brief History Since its introduction in the late 1970s. Key PointsQuestionAre rapid-onset opioids noninferior to rapid-onset neuromuscular blockers for rapid sequence intubation in the operating room among adults at risk of aspiration?įindingsIn this noninferiority randomized clinical trial that included 1150 participants, the rate of tracheal intubation on first attempt without major complications was 66.1% in the remifentanil group and 71.6% in the neuromuscular blocker group, a difference that did not meet the prespecified noninferiority margin of −7% and was consistent with statistical inferiority of remifentanil. This procedure has proven to be useful in the approach of patients with a compromised state of consciousness or by alterations in. Grillot, Nicolas Lebuffe, Gilles Huet, Olivier Lasocki, Sigismond Pichon, Xavier Oudot, Mathieu Bruneau, Nathalie David, Jean-Stéphane Bouzat, Pierre Jobert, Alexandra Tching-Sin, Martine Feuillet, Fanny Cinotti, Raphael Asehnoune, Karim Roquilly, Antoine The rapid intubation sequence (RSI) is an advanced technique in the management of airways that safely ensures an adequate supply of oxygen to critically ill patients in the emergency department. Effect of Remifentanil vs Neuromuscular Blockers During Rapid Sequence Intubation on Successful Intubation Without Major Complications Among Patients at Risk of Aspiration Effect of Remifentanil vs Neuromuscular Blockers During Rapid Sequence Intubation on Successful. ![]()
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