Rapid sequence induction

Rapid sequence induction (RSI), also known as rapid sequence intubation or rapid sequence induction and intubation (RSII), is a medical procedure involving a prompt induction of general anesthesia and subsequent tracheal intubation. This technique is commonly used in emergency situations to secure the patient's airway, prevent aspiration, and facilitate ventilation.

Indications

RSI is typically indicated in situations where the patient's airway is at risk, such as in cases of trauma, sepsis, and cardiac arrest. It may also be used in patients with a full stomach, pregnancy, or other conditions that increase the risk of aspiration.

Procedure

The procedure involves the administration of a potent sedative or anesthetic agent, followed by a rapid-acting muscle relaxant. This is done to induce unconsciousness and paralysis as quickly as possible, allowing for the immediate insertion of a tracheal tube.

Complications

Potential complications of RSI include hypoxia, hypotension, cardiac arrest, and damage to the airway. These risks can be minimized with proper technique and monitoring.

See also

• General anesthesia
• Tracheal intubation
• Emergency medicine

References

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