RSI

Question 1

7 Ps of RSI

Answer 1

Preparation

Preoxygenation

Pretreatment

Paralysis w/ induction

Positioning

Placement w/ proof

Postintubation management

Question 2

What is the acronym for preparation?

Answer 2

SOAP - ME

Question 3

What is the “S” in SOAP-ME?

Answer 3

S - suction

Question 4

What is the “O” in SOAP- ME?

Answer 4

Oxygen

Question 5

What is the “A” in SOAP - ME?

Answer 5

Airway equipment

Laryngoscopes: 2 functioning handles and various size blades

ET: chose size and one size smaller ETT
Test the ET cuff MUST be tested
- Adult males: 7.5 - 8
- Adult females: 7 - 7.5
- Children: 4+ (age in years/4)

Question 6

What is the “P” in SOAP-ME?

Answer 6

Pharmacology (induction, paralytic, ongoing sedation, vasopressors)

Patent IV line

Specific RSI medications, drawn and labeled

Question 7

What is the “ME” in SOAP-ME?

Answer 7

Monitoring equipment (BP, Pulse Ox, ET CO2)

Question 8

Name a depolarizing NMB agent.

Answer 8

Succinylcholine: Onset 45 - 60 seconds; duration 6 -12 minutes

Question 9

Name a non-depolarizing NMB

Answer 9

Rocuronium: Onset: 50 - 70 seconds; duration 30 - 60 minutes

Vecuronium: Onset: 90 - 120 seconds; duration 60 - 75 minutes

Pancuronium: Onset 100 - 150 seconds; duration 120 minutes - 150 minutes