What medications are used for RSI?

Muscle relaxants or paralytic agents include the following:

• Suxamethonium (succinylcholine): It is the most common muscle relaxant used in RSI.
• Rocuronium: It takes effect within 45-60 seconds.
• Pharmacological adjuncts include the following:
• Fentanyl.
• Alfentanil.
• Remifentanil.
• Lidocaine (lignocaine)

Which is the drug of choice for pharmacologically assisted intubation of patient with traumatic brain injury?

For the normotensive/hypertensive group, we believe the best induction medication is etomidate. Etomidate’s mild hemodynamic profile, along with evidence that it may decrease cerebral blood flow and cerebral metabolic demand while preserving CPP [26], makes it a strong candidate for this patient population.

Can EMTs do endotracheal intubation?

Ventilating difficult airways in the field [9] The National Scope of Practice model does not specifically prohibit states from allowing EMTs to perform endotracheal intubation; however, the psychomotor skill and associated cognitive requirements are not part of the EMS Education Standards for the country.

What is RSI Anaesthesia?

Rapid sequence induction (RSI) is an established method of inducing anaesthesia in patients who are at risk of aspiration of gastric contents into the lungs. It involves loss of consciousness during cricoid pressure followed by intubation without face mask ventilation.

How fast do you push RSI meds?

Dose 1mg/kg IV (example 70kg: 70mg) c. Onset 1-3 min, Duration 30-45 min. C. After paralytic med given, wait 45-60 seconds before intubating.

What is atropine used for in RSI?

Atropine is part of the LOAD pretreatment mnemonic for RSI. Pediatric airway literature often recommends atropine for infants and children. Thought to prevent the reflex bradycardia that comes with laryngoscopy and intubation.

What is RSI EMS?

Rapid sequence induction (RSI) is the use of pharmacologic agents to aid in establishing a definitive airway. More than 90% of in-hospital intubations use RSI, with the other 10% being “crash intubations” or those where the obtunded patient does not require initial sedation or neuromuscular blocking agents (NMBAs).

What does RSI pain feel like?

pain, aching or tenderness. stiffness. throbbing. tingling or numbness.

What is RSI in trauma?

Rapid-sequence induction (RSI) is an established airway management technique for emergency endotracheal intubation in trauma patients.

Can you intubate a conscious patient?

So who can be intubated awake? Any patient except the crash airway can be intubated awake. If you think they are a difficult airway, temporize with NIV while you topically anesthetize and then do the patient awake while they keep breathing.

What drug is given before intubation?

[4] Common sedative agents used during rapid sequence intubation include etomidate, ketamine, and propofol. Commonly used neuromuscular blocking agents are succinylcholine and rocuronium. Certain induction agents and paralytic drugs may be more beneficial than others in certain clinical situations.

Why is atropine given before intubation?

Description of the intervention. The pre‐emptive administration of atropine is commonly employed in order to avoid bradycardia associated with intubation.

What are the contraindications for RSI?

What are the contraindications for rapid sequence intubation (RSI)?

• Total upper airway obstruction, which requires a surgical airway.
• Total loss of facial/oropharyngeal landmarks, which requires a surgical airway.

Can you intubate without a paralytic?

Facilitated intubation, also known as medication-facilitated intubation (MFI) or sedation-facilitated intubation, refers to intubation performed using a sedative or anesthetic drug as an induction agent, without the use of a paralytic (neuromuscular blocking agent).

What are the five symptoms of RSI?

Symptoms of RSI

• pain, aching or tenderness.
• stiffness.
• throbbing.
• tingling or numbness.
• weakness.
• cramp.

What are Rapid Sequence Intubation ( RSI ) drugs for Micu?

Rapid sequence intubation (RSI) drugs for MICU: cheat sheet 6.30.16 Induction agents Dose Onset Duration Contraindications Notes Etomidate 0.3 mg/kg IV 70kg = 14 – 20 mg <1 minute 3-5 minutes Adrenal insufficiency Septic shock?

How much Propofol is needed to treat RSI?

Propofol 1-2.5 mg/kg IBW + (0.4 x TBW) (others simply use 1.5 mg/kg x TBW as the general guide) Use: any RSI, especially if hemodynamically unstable (OK in TBI, does not increase ICP despite traditional dogma) or if reactive airways disease (causes bronchodilation)

What kind of drugs are used in EMS?

Individual EMS Systems may or may not utilize these or other approved drugs. Individual EMS Systems are strongly encouraged to maintain a system-specific drug list for use with system-specific protocols for daily operations and training. See the Pediatric Color Coded Drug List for pediatric dosages This formulary is provided as a reference only.

When to use midazolam or fentanyl for RSI?

Use: not usually recommended for RSI, some practitioners use low doses of midazolam and fentanyl for RSI of shocked patients Drawbacks: respiratory depression, apnea, hypotension, paradoxical agitation, slow onset, variable response Use: suitable for most situations including haemodynamically unstable, other than sepsis or seizures