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
Category Airway
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.
Post-intubation care
Post-intubation care: key steps in patient care following intubation
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)
Nasal intubation
nasal intubation may be performed blind or with fiberoptic assistance. Indicated when oral intubation is not feasible
Bag-Valve-Mask (BVM) Ventilation
Bag-Valve-Mask (BVM) apparatus are also known as manual resuscitators and as self-inflating resuscitation systems
Third Cranial Nerve Lesions
Third Cranial Nerve Lesions. oculomotor nerve. innervates: superior rectus, inferior rectus, medial rectus, inferior oblique, levator palpebrae, cillary muscle and iris sphincter
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…
Endotracheal tube cuff leak
Endotracheal tube (ETT) cuff leaks vary from trivial problems to life-threatening emergencies. Detectable air leaks affect up to 11% of ICU patients
Airway and Cervical Spine Injury
Airway and Cervical Spine Injury. about 30% of trauma patients (depending on the study) require intubation <30 minutes of arrival in ED. airway management must take into account the risk of coexistent cervical spine injury, the mantra being "airway management with cervical spine stabilisation"
Airway Management in Major Trauma
airway obstruction or disruption is an important cause of death and morbidity in major trauma, although intubation may be indicate for a number of other reasons
Pre-hospital Rapid Sequence Intubation (RSI)
This video is from the Greater Sydney Area HEMS blogpost on Rapid Sequence Intubation in Retrieval Medicine