Rapid Sequence Induction

Question 0

PRE-OXYGENATION *** (5)
Open pop off valve (1)
Apply tight mask seal (1)
Assure O2 flow meter > 5 liters/min (1)
3 forced vital capacities within 30 seconds with 100% O2 (1)
3 minutes of 100% O2 with a goal of >85% end tidal oxygen conc. (1)

Answer 0

Ask if pre-treating with non-depolarizer if using succinylcholine (1)

Question 1

Complete machine check (1)
Complete equipment set-up (laryngoscope, ETT, airway, suction on at head of table) (1)
Complete medication check (1)

Answer 1

Apply pulse oximeter (1)
Apply ECG leads (1)
Apply NIBP (1)
Obtain baseline vital signs *** (4)

Question 2

Apply cricoid pressure *** (4)

Answer 2

Administration of Drugs ***
Maintain cricoid pressure (2)
Administer propofol (2)
Administer muscle relaxant immediately after induction agent (2)
NO positive pressure ventilation (1)
Consider taping eyelids (1)

Question 3

Maintain cricoid pressure (2)
Intubate (1)
Correct ETT depth (1)
Cuff inflated (1)

Answer 3

Connect to anesthesia machine circuit (1)
Volatile agent on ** (3)
Confirm ETCO2 (3 breaths minimum) ** (3)
Auscultate bilaterally (mid-axillary line & epigastrum) (1)

Question 4

Release cricoid only if intubation is confirmed (4)
Tape ETT (1)

Answer 4

Adjust ventilator settings (tidal volume, RR, I:E ratio) (1)
Bag/ventilator switch to ventilator (1)
Turn on ventilator (1)

Question 5

Adjust fresh gas flows, typically 1 liter air and 1 liter O2 (1)

Answer 5

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