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It is now also frequently, though not universally, avoided in rapid sequence intubations, as high dose rocuronium is proving to be a viable alternative.
Using data from San Diego County, they demonstrated that, contrary to common belief, paramedic-performed rapid sequence intubation was associated with an increase in mortality and a decrease in good outcomes compared with historical controls.
Rapid sequence intubation (RSI) has become widespread as the procedure of choice for definitive airway management by pre- and in-hospital emergency care worldwide.
Effective June 1, 2000, a Standing Order has been issued to the Delaware paramedic community to include the LMA-Unique(TM) on ambulances for use to establish an airway if rapid sequence intubation fails.
Association of Corticosteroid Dose and Route of Administration With Risk of Treatment Failure in Acute Exacerbation of Chronic Obstructive Pulmonary Disease * Emergency Department Management of the Airway in Obese Adults * Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial * The Association Between Transfer of Emergency Department Boarders to Inpatient Hallways and Mortality: A 4-Year Experience For more information visit http://www.
The authors are to be congratulated for making the steps to successful pre-hospital rapid sequence intubation very clear, with highlight boxes and easy to remember mnemonic outlining how to assess the need for pre-hospital rapid sequence intubation, the risks, the preparation, the equipment, the procedure and the post-intubation care.
The safety of etomidate for rapid sequence intubation (Abstract).
The second edition adds chapters on rapid sequence intubation, response to terrorism, capnography, the combitube, and the laryngeal mask airway.