Rapid Sequence Induction (RSI)
• If applicable, remove the cervical spine immobilization and begin manual in-line
stabilization
• Announcement of the anesthetic medicine with active substance and dosage,
step-by-step application
• Wait for loss of consciousness and relaxation effect
• Airway management without intermediate ventilation in normoxic patients*
• Tube position check (capnography, auscultation, insertion depth)
• If applicable, stop manual in-line stabilization and close the cervical spine
immobilization brace again
* In individual cases, despite the increased risk of aspiration, intermediate ventilation may be necessary in
order to maintain oxygenation.
Please note that these are excerpts from the S1guideline "Pre-hospital emergency anesthesia in adults".
Source: Anästh Intensivmed 2015;56:317-335 Aktiv Druck & Verlag GmbH
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