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Emergency Medicine, Trauma, Airway, procedural sedation

Davor Podbevsek
A significant proportion of acute airway management occurring outside the operating room is being performed by non-anesthesiologists. Rapid sequence intubation (RSI) as a modification of endotracheal intubation (EI) has been recognized as a core procedure within the domain of emergency physician. The technique is termed rapid sequence because it involves simultaneous induction of sedation and neuromuscular blockade, usually with succinylcholine. The method is very successfully used by trained non-anesthesiologists, physicians and ambulance paramedics in western countries, when traumatized patients are agitated and combative, uncooperative, hypoxic, hemodinamically unstable or have an increased risk of aspiration...
June 2006: Acta Medica Croatica: C̆asopis Hravatske Akademije Medicinskih Znanosti
Xavier Combes, Patricia Jabre, Chadi Jbeili, Bertrand Leroux, Sylvie Bastuji-Garin, Alain Margenet, Fréderic Adnet, Gilles Dhonneur
OBJECTIVES: The rate of difficult intubation in prehospital emergency medicine varies greatly among studies already published and depends on several factors. The authors' objective was to determine the rate of difficult intubations and to determine factors associated with prehospital difficult airways when a standard protocol for sedation and intubation was applied. METHODS: This 30-month clinical, observational, prospective study was performed in a suburb of Paris, France (Val de Marne, population 1,300,000) by a prehospital emergency medical unit...
August 2006: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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