Rapid Sequence Intubation Questions & Answers

Updated: Feb 28, 2019
  • Author: Keith A Lafferty, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Questions & Answers

Overview

What is rapid sequence intubation (RSI)?

What are signs of impending respiratory failure that require rapid sequence intubation (RSI)?

Why is rapid sequence intubation (RSI) the preferred method of endotracheal tube intubation (ETTI) in the emergency department (ED)?

When is rapid sequence intubation (RSI) contraindicated?

What is the role of the Sellick maneuver in rapid sequence intubation (RSI)?

What causes a failure to maintain airway patency requiring rapid sequence intubation (RSI)?

What causes decreased consciousness and loss of airway reflexes requiring rapid sequence intubation (RSI)?

What causes failure to ventilate requiring rapid sequence intubation (RSI)?

What causes failure to oxygenate requiring rapid sequence intubation (RSI)?

What causes an anticipated clinical course or deterioration requiring rapid sequence intubation (RSI)?

What are the contraindications for rapid sequence intubation (RSI)?

Which drugs can be administered to simplify rapid sequence intubation (RSI)?

How is rapid sequence intubation (RSI) performed on a patient with C-spine precautions?

What are the benefits of video assistance in the performance of rapid sequence intubation (RSI)?

What is the role of analgesia and sedation following rapid sequence intubation (RSI)?

In which clinical situations is rapid sequence intubation (RSI) performed?

What is the criterion standard for confirmation of correct tube placement in rapid sequence intubation (RSI)?

What is the role of preoxygenation in rapid sequence intubation (RSI)?

Periprocedural Care

What equipment is needed to perform rapid sequence intubation (RSI)?

What are the phases of medication administration in rapid sequence intubation (RSI)?

How is preoxygenation administered prior to rapid sequence intubation (RSI)?

What is the role of apneic oxygenation during rapid sequence intubation (RSI)?

What is the role of pretreatment medications prior to rapid sequence intubation (RSI)?

Which medications are used for induction prior to rapid sequence intubation (RSI)?

What is the role of paralytic agents prior to rapid sequence intubation (RSI)?

How are patients positioned for rapid sequence intubation (RSI)?

What are possible complications of rapid sequence intubation (RSI)?

Technique

What is the LEMON law for airway assessment prior to rapid sequence intubation (RSI)?

What are the steps for rapid sequence intubation (RSI) preparation?

How is preoxygenation administered for rapid sequence intubation (RSI)?

What is included in pretreatment for difficult airway assessment of rapid sequence intubation (RSI)?

What steps are taken to protect against regurgitation during rapid sequence intubation (RSI)?

How is rapid sequence intubation (RSI) performed?

What is included in the postprocedure treatment of rapid sequence intubation (RSI)?

What is the role of video-assisted laryngoscopy (VAL) in rapid sequence intubation (RSI)?