Rapid Sequence Intubation

Question 1

What are the 6 P’s and S of RSI?

Answer 1

Prep
Pre-oxygenate
Pretreat
Sedate
Paralyze
Placement
Postintubation care

Question 2

RSI Indications

Answer 2

Compromised airway, unable to adequately oxygenate/ventilate, or anticipate deterioration
PLUS
GCS>8
Intact gag reflex
Clenched Jaw

Question 3

RSI Contraindications

Answer 3

Inability to adequately ventilate(absolute)
CI for meds needed
Anticipate difficult airway(relative)
Complete airway obstruction
Apneic/unresponsive pt(not indicated)

Question 4

Etomidate: Class, actions, indications, onset, duration

Answer 4

C: Hyponotic, anesthesia induction agent
A: Unknown, GABA-like effects
I: Induction of RSI or pharmacological assist with ET
O: 30-60sec
D: 5 min

Question 5

Rocuronium: Class, actions, indications, onset, duration

Answer 5

C: neuromusclar blockade, nondepolarizing
A: antagonizing ACH, skeletal muscle paralysis
I: facilitation of ET
O: 1-2min
D: 45min

Question 6

Succinylcholine: Class, actions, indications, onset, duration

Answer 6

C: neuromuscular blockade, depolarizing
A: competitive ACH, muscular paralysis
I: facilitation of ET
O: 30-60sec
D: 5 min

Question 7

Vecuronium: Class, actions, indications, onset, duration

Answer 7

C:nondepolarizing, neuromuscular blockade
A: antagonize ACH, skeletal muscle paralysis
I: facilitate ET
O: 1-2 mins
D: 30 mins