Volume : III, Issue : II, February - 2014

Rapid Sequence Intubation Method For Emergency Endotracheal Intubation

Dr. Brijesh S. Goswami, Dr. Samira N. Parikh

Abstract :

Background :Rapid sequence intubation(RSI) is defined as a technique in which a potent sedative or induction agent is administered virtually, simultaneously with a paralyzing dose of a neuromuscular blocking agent to facilitate tracheal intubation. The tenchnique includes specific protection against aspiration of gastric contents, provides excellent access to the airway for intubation, and permits pharmacological control of adverse responses to illness, injury and the intubation itself. Aims and Objectives : • To study different indications for Endotracheal Intubation. • To study the success rate of Rapid Sequence Intubation (RSI). • To observe benefits & complications with ETI performed using RSI. Results :Common indication for intubation was anticipated clinical course of deterioration (129 patients - 64.5%), which clearly gives idea that we were more concerned about early and good clinical outcomes of patients. We used RSI method in 101 patients (50.5%) and sedation only method in 73 patients (36.5%) to intubate patients. Overall success rate for intubation was 100%. In this study 1st attempt success rate with RSI was 98% while sedation only method showed only 83.5% success. Complication rate with RSI method was (1 patient - 0.5%) whereas complication rate with sedation only and crash airway method was (18 patients - 9%) & (4 patients - 2%) respectively. Conclusion :This study suggests that RSI method for intubation can be safely performed under observation in critically ill patients by trained emergency physicians. In our study, success rate was higher & complication rate was lower with RSI method.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Brijesh S. Goswami, Dr. Samira N. Parikh Rapid Sequence Intubation Method For Emergency Endotracheal Intubation International Journal of Scientific Research, Vol.III, Issue.II February 2014

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