Category Airway
CCC Critical Care compendium 340

Rapid Sequence Intubation (RSI)

Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the emergency airway
CCC Critical Care compendium 340

Rapid sequence airway (RSA) and PALM

Rapid sequence airway (RSA) is a modified form of rapid sequence intubation that uses an LMA inserted following induction (+/- administration of neuromuscular blockade) to maximise peri-intubation oxygenation prior to endotracheal tube insertion
CCC Critical Care compendium 340

Pretreatment drugs for RSI

Traditionally there are four options for pretreatment for Rapid Sequence Intubation (RSI): atropine, lidocaine, fentanyl, and defasciculating dose of a non-depolarising neuromuscular blocker
CCC Critical Care compendium 340

Preoxygenation

Preoxygenation is the administration of oxygen to a patient prior to intubation to extend 'the safe apnoea time'. The primary mechanism is 'denitrogenation' of the lungs, however maximal preoxygenation is achieved when the alveolar, arterial, tissue, and venous compartments are all filled with oxygen.
CCC Critical Care compendium 340

Paralytics for Intubation of the Critically Ill

Paralytics for Intubation of the Critically Ill. should suxamethonium or rocuronium be used for rapid sequence intubation? is a neuromuscular blocker even necessary for intubation of the critically ill? (facilitated or sedation only intubation)
CCC Critical Care compendium 340

Nasal intubation

nasal intubation may be performed blind or with fiberoptic assistance. Indicated when oral intubation is not feasible
CCC Critical Care compendium 340

Third Cranial Nerve Lesions

oculomotor nerve innervates: superior rectus, inferior rectus, medial rectus, inferior oblique, levator palpebrae, cillary muscle and iris sphincter SYMPTOMS/SIGNS “down and out” – because of antagonism of the trochlear nerve (superior oblique) and abducens nerve (lateral rectus) ptosis – weakness…

CCC Critical Care compendium 340

Femoral Vein Anatomy

Femoral Vein Anatomy continuation of the popliteal vein lies in the intermediate compartment of the femoral sheath accompanies the femoral artery in the femoral triangle at the inguinal ligament it becomes the external iliac vein FEMORAL TRIANGLE superior: inguinal ligament…

CCC Critical Care compendium 340

Bronchoscopic Anatomy

Reviewed and revised 21/2/13 OVERVIEW Dave Pilcher’s 4 rules for finding where you are: the trachea is D shaped, the flat wall is posterior the RML bronchus is anterior the apical (aka superior) segmental bronchi of the lower lobes are…