Podcast 848: Non-Traditional RSI

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Contributor: Meghan Hurley, MD

Educational Pearls:

Two main reasons to choose non-traditional RSI

Anatomically challenging airway

Physiologically difficult patients: hypoxia, metabolic acidosis, hemodynamic instability

Ketamine may help patients remain hemodynamically stable

In critical patients, it is important to consider non-traditional RSI medications to improve outcomes

References

1. Lyon RM, Perkins ZB, Chatterjee D, Lockey DJ, Russell MQ. Significant modification of traditional rapid sequence induction improves safety and effectiveness of pre-hospital trauma anaesthesia. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0872-2

2. Merelman AH, Perlmutter MC, Strayer RJ. Alternatives to rapid sequence intubation: Contemporary airway management with ketamine. West J Emerg Med. 2019;20(3):466-471. doi:10.5811/westjem.2019.4.42753



Summarized by Jorge Chalit, OMS1 | Edited by Meg Joyce

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What was the point of all of this 5 minutes of nothing

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