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Emerg Med Clin North Am. 2008 Nov;26(4):1043-68, x. doi: 10.1016/j.emc.2008.10.002.

Challenges and advances in intubation: rapid sequence intubation.

Author information

1
Cleveland Clinic Lerner College of Medicine of Case Western Reserve, Cleveland, OH 44195, USA. maces@ccf.org

Abstract

Rapid sequence intubation is the process involving administration of a sedative (eg, induction agent) followed almost immediately by a neuromuscular blocking agent to facilitate endotracheal intubation The purpose of emergency RSI is to make emergent intubation easier and safer, thereby increasing the success rate of intubation while decreasing the complications. Possible disadvantages are complications from the additional drugs, prolonged intubation with hypoxia, and precipitating an emergent or crash airway. Controversy has arisen regarding various steps in RSI; however, RSI remains the standard of care in emergency medicine airway management.

PMID:
19059100
DOI:
10.1016/j.emc.2008.10.002
[Indexed for MEDLINE]

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