Rapid-sequence intubation and cricoid pressure

Prehospital rapid sequence intubation.

The Professional Board for Emergency Care at the Health Professions Council of South Africa (HPCSA) has approved pre-hospital rapid sequence intubation (RSI) as part of the scope of practice for registered emergency care practitioners (ECPs). RSI is an advanced airway management process that facilitates endotracheal intubation in adults and children. Features of this technique include pre-oxyge...

Pediatric Rapid Sequence Intubation

every day; however, none is more important than effective airway management. The loss of an airway is one of the most common causes of morbidity and mortality in severely ill or injured children. It may occur suddenly, without any warning, and requires immediate action; therefore, all emergency medicine physicians must possess knowledge of the management of an airway using rapid sequence intuba...

Rapid Sequence Intubation

Use of cricoid pressure during rapid sequence induction: Facts and fiction

Cricoid pressure (CP) was introduced into anaesthetic practice based on a single case series that lacked information on the force applied and on the method of application. Up to now, there are no controlled, prospective randomised trials which document that CP pressure reduces the incidence of regurgitation of gastric content and pulmonary aspiration. On the other hand, numerous studies have sh...

Rapid sequence intubation in adults

INTRODUCTION — The first task of any clinician managing an acutely unstable patient is to secure the airway. In most circumstances, emergency clinicians use rapid sequence intubation (RSI) to accomplish this task. RSI incorporates a rapidly acting sedative (ie, induction) agent and a neuromuscular blocking (ie, paralytic) agent to create optimal intubating conditions and enable rapid control of...