Challenges and advances in intubation: rapid sequence intubation
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.
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RSI is the most common approach for airway management in trauma.
“RSI is the most common approach for airway management in trauma.75,76”
From Airway Management in Trauma (2018) · cites this paper as [76]
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Kovacs, G., & Sowers, N. (2018) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2017.08.006 · Cited by 115 · see citing works
- Authors
- Mace, S. E.
- Affiliations
- MetroHealth (US)
- Corresponding author
- Mace, Sharon Elizabeth
- Venue
- Emergency Medicine Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 26
- Issue
- 4
- Pages
- 1043-1068
- ISSN
- 0733-8627 (ISSN-L)
- OpenAlex
- W2164050799
- Cited by
- 70
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 8 · 2023: 10 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 5 · 2013: 6 · 2012: 2
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Emergency Medicine Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- rapid sequence intubation, emergency airway management, endotracheal intubation, induction agents, neuromuscular blocking agents, sedation, intubation complications, hypoxia
- MeSH terms
- Airway Obstruction, Emergency Service, Hospital, Humans, Hypnotics and Sedatives, Intubation, Intratracheal, Neuromuscular Blocking Agents, Neuromuscular Junction, Preoperative Care, Procedural Sedation, Respiratory Aspiration
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