The procedure timeline for Rapid Sequence Intubation (RSI), which is used to safely place an endotracheal tube in patients, can be described as follows:
- Preparation and Inspection of Equipment: Inspection and preparation of all necessary medical devices and medicines. Equipment includes laryngoscope, endotracheal tube, sedatives, neuromuscular relaxants, aspiration materials, ventilation system and other necessary equipment.
- Preoxygenation: Oxygen is delivered to the patient via high-flow masks to achieve maximum blood oxygen saturation before intubation.
- Premedication : In some cases, drugs for sedation, suppression of bradycardia, suppression of cough and emesis are applied as needed.
- Sedation: Application of sedative drugs to reduce the patient’s consciousness and ensure muscle relaxation.
- Sellick maneuver: Pressure is applied to the cricoid cartilage to reduce the likelihood of regurgitation of gastric contents.
- Neuromuscular blockade: Use of drugs to achieve muscle relaxation.
- Endotracheal intubation: Placing an endotracheal tube directly into the patient’s trachea.
- Tube Position Confirmation: Checking and confirming the correct position of the endotracheal tube by auscultation, measurement of exhaled carbon dioxide, X-rays or other methods.
- Fixation of the tube: After confirming the correct position, the tube is stabilized to stay in place.
- Post-Intubation Care: Begins care for the patient after intubation, including monitoring vital signs, ventilation, and administration of medications as needed.
- Transport of the patient : If necessary, the patient is transported to a health facility with appropriate supervision and medical care.
- Continuous monitoring: The patient remains under continuous medical monitoring during transport and after intubation.
Note: The time course may vary depending on the clinical condition of the patient, the specific procedure and the preferences of the doctor. This is a general overview of the key steps in the RSI process. “RSI is a procedure that requires a certain amount of time to prepare and carry out. The algorithm with a series of actions is attached for reference.”
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