What is Rapid Sequence Intubation (RSI)?

Explaining what RSI is and how it diff! 📝 Free Quiz: COMING SOON

For intubations we have a special technique that is used in emergent/emergency intubations or whenever someone has risks for aspiration called Rapid Sequence Intubation or RSI. Our goal is to safely intubate them as quickly as possible. This differs from regular intubation by the use of a paralytic, not administering a test breath, and with the use of cricoid pressure.

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0:00 Intro
1:17 What is RSI?
2:56 Paralytic
4:29 Test Breath
6:03 Cricoid Pressure
9:14 Wrap up

#ICUAdvantage #RSI #RapidSequenceIntubation

[ICUAdvantage]

NOTES for this lesson (and all previous lessons) are availably only to YouTube and Patreon members. Links to join both here ⬇

[perrinmichael]

BURP and Cricoid pressure are for 2 different reason. Cricoid is used to prevent aspiration if the patient is at risk for regurgitation. BURP is to aid intubation if the vocal cords are more anterior. BURP helps bring the vocal cord to better view during laryngoscopy.

[rikertvonfulton]

Just performed a RSI on a motorcycle wreck patient with a severe head injury in my ambulance 2 days ago. It is a process that takes time but a great tool to facilitate securing an airway in high stress situations.

[medtarget]

Thank you for the wonderful and useful information.
A SIMPLE NOTICE: The BURP maneuver (Backward, Upward, Rightward Pressure) is a technique used in airway management, particularly during laryngoscopy, to improve visualization of the vocal cords, it is different from the the CRICOID PRESSURE (Sellick maneuver), which is used to prevent aspiration by occluding the esophagus.

[liamplaxco]

Eddie seriously you don't understand how ridiculously useful your channel has been for mine and other nurses' practice when it comes to the ICU. I'm a nursing student entering my last semester, but I also work in an ICU as a nurse extern. Seeing and hearing all these videos as I experience these events for the first time in the real world really cements it in my mind and I can even bring new information to the table that some nurses may not even be aware of. Not to say that I don't have so much more to learn. I'll be doing my practicum in the CVICU and I believe I want to practice there and eventually be a CRNA. Thanks for all the amazing videos.

[syedabood]

Great video! I’ve been following your channel for years with the aspiration of becoming an ICU RN, instead of stepdown where I’ve been for three years. Just starting in ICU at a trauma I and I’m bringing myself up to speed with everything I possibly can!

[maciemarshall]

I wanna go to paramedic school next year and I’ve been preparing to ace the studies by head starts on unit topics I know my colleagues in my EMS division are doing right now. This is such a perfect clear explanation of RSI thank you!

[soominwoo]

I started my ER rotation today. This week assigned topic discussion is RSI (mainly pharmacologic treatment), but i never hard about it before. Thank you for great explanation. It was helpful

[MrBabema]

I've got only few months to grad from medschool. Got anaesthesia end-of-posting test tomorrow, this video is helpful! Gracias, sir!

[taylorpowers]

I will be off orientation for the first time tomorrow and it is so reassuring to have spent a short time getting a simple explanation of such an important topic. thank you!

[norjamiza]

I'm happy enjoyed this kind of the videos and helped me a lot as GA nurse too

[aabishkhan]

I am BS anesthesia 3rd semester student this vid is really helpful ❤❤❤

[DocSakhi]

It’s very interesting and easy to follow through

[andrewcomments]

I don't know how useful this comment will be, but I thought it might help by sharing this experience from the patient's perspective. RSI was performed on me in the ED for an emergency endoscopy. First, I must say that I was/am an otherwise healthy individual, was not critical, had no serious trauma beforehand, and had no contraindications to this procedure. I was actively vomiting, and had a full stomach, so they decided this was the best way to go for the endoscopy.

The oxygen mask was placed on me. According to my discharge papers, I was administered both succinylcholine AND rocuronium, along with fentanyl, sugammadex, and propofol. The list is not complete, but those were the major drugs. After the mask was placed on me, I remember just waiting for less than a minute or so, fully awake, waiting for something to happen. The very next thing I knew, I was waking up in the recuperating room. I don't remember anything happening after that minute with the mask on, no getting tired, no droopy eyelids. Just fully awake, then suddenly I'm in the recuperating room. It was a very strange, but neat and smooth experience. The team was excellent. I was discharged the same day. No complications, other than a very sore and stiff neck the next day, and I was pretty zombified well into the next day, too.

[chetan]

Hi, your video's are very informative. I have one request can you add video on hypotension cause by adrenal insufficiency after major non cardiac surgery e.g hip replacement surgery.

[alexm]

Hi! biomed engineer here, that designs ariway management manikins. Great video! BTW - would you ever put full pressure during Sellick Manever if the patient is fully awake in any emergency scenario?

[angeramirez]

I'm a clinical dietitian and I work in a dyalisis unit. Despite I'm not usually the one doing this kind of things I like to learn cause our patients are prone to sudden cardiac arrests and we have been performing CPR a few times in them.

[barbaracherrington]

As always, great information. I am interested to be an icu trained and you are helping a great deal. Thanks in taking the time to bring these valuable information to your audience.

[anishaskspriya]

I’m an ICU NURSE ... have seen a lot of rapid intubation... but haven’t ever done this maneuver... we used to aspirate the stomach content of patients once after placing Ryles Is that a right way????

[BusEye]

Do a video on delayed sequence intubation