Chapter 9-RSI (why and how to do it)

These flashcards cover key terms and concepts related to Rapid Sequence Intubation (RSI) based on the lecture notes provided.

Rapid Sequence Intubation (RSI)

A method of intubating a patient through the pharmacologic induction of unconsciousness and paralysis.

Aspiration

The inhalation of food, liquid, or foreign body into the airway or lungs.

Tracheal Intubation

The process of placing a tube into the trachea to maintain an open airway.

Emergency Medicine (EM)

A medical specialty focused on the diagnosis and treatment of acute and urgent conditions.

Cricoid Pressure

A technique used to compress the cricoid cartilage to prevent regurgitation during intubation.

Neuromuscular Blocking Agents

Drugs used to induce paralysis, facilitating intubation.

Preoxygenation

The process of administering oxygen to a patient before intubation to increase oxygen reserves.

Pharmacologic Induction

The use of medications to safely induce unconsciousness for intubation.

Laryngoscopy

The examination of the larynx and vocal cords using a laryngoscope during intubation.

Endotracheal Tube (ETT)

A tube placed in the trachea to secure an open airway.

Hypoxia

A deficiency in the amount of oxygen reaching the tissues.

Hypotension

Abnormally low blood pressure.

Bag-Mask Ventilation (BMV)

A method to provide positive pressure ventilation using a bag and a mask.

Skeletal Muscle Relaxation

The reduction of muscle tension required for successful laryngoscopy and intubation.

Routine Intubation

The standardized process of inserting an ETT in cases of respiratory failure or distress.

First Attempt Success Rate

The percentage of successful intubations achieved on the first attempt.

Unanticipated Difficult Airway

An airway that is more challenging to manage than expected.

Rescue Oxygenation Techniques

Methods to secure an airway when initial intubation attempts fail.

Awake Intubation

Intubating a patient who is conscious to maintain airway reflexes.

RSI Induction Agents

Medications such as propofol, etomidate, or ketamine used for inducing unconsciousness.

Contraindications to RSI

Situations or conditions where RSI should not be performed.

Physical Assessment

The evaluation of a patient’s physical status before intubation.

ETT Confirmation

The process of verifying the correct placement of the endotracheal tube.

Postintubation Care

Management and monitoring of a patient after the intubation procedure.

Fluid Bolus

A rapid infusion of fluid to maintain blood pressure and prevent hypotension.

Patient Cooperation

The ability of a patient to follow instructions during a medical procedure.

Induction Sequence

The order of medications administered during the rapid sequence intubation.

Apnea Management

The strategies employed when a patient stops breathing.

Airway Management

The process of ensuring that a patient’s airway is open and clear.

Successful Intubation

Placing the endotracheal tube correctly to secure the airway.

Morbidity

Complications or adverse outcomes resulting from medical intervention.

Challenging Intubation

Intubation that is difficult due to anatomical or physiological factors.

Anesthesia Literature

Research and studies focused on the practice and safety of anesthesia.

Patient Observations

Monitoring vital signs and respiratory status during intubation.

Rescue Ventilation

Forced ventilation methods used in cases where intubation fails.

Emergency Department (ED)

A specialized area in a hospital focused on urgent medical care.

Sedation Agents

Medications used to calm patients or induce sleep prior to procedures.

Emergency Intubation

Intubation performed in urgent medical situations.

Gastric Insufflation

The inflation of the stomach with air which can lead to complications.

Aspiration Risk

The potential for vomit or secretions to enter the airway.

Trauma Life Support (ATLS)

A protocol for the care of trauma patients, including airway management.

Preoxygenation Techniques

Methods for optimizing oxygen delivery before intubation.

Pediatric Considerations in RSI

Unique aspects of performing RSI on children, including dosage adjustments.

Auscultation of Breath Sounds

Listening to lung sounds to assess tube placement after intubation.

Induction Timing

The critical intervals during which intubation must be performed.

RSI Success Factors

Elements that contribute to effective rapid sequence intubation.

Emergency Airway Algorithms

Step-by-step protocols for managing airways in emergency situations.