This equipment should be well organized and accessible in a ready-made kit, so that you never have to delay treatment because you can’t find a catheter.
Back-up battery for any portable suction unit.Rapid sequence intubation requires endotracheal intubation. The best option is usually sugammadex.Īnesthesia inhibits the body’s respiratory response, necessitating airway management to prevent aspiration, hypoxia, and serious injury. While anesthetics wear off, you will need an agent to reverse long-acting paralytics. These agents can prevent coughing and reflexive airway movements that may further endanger patients with a higher-than-average risk of aspiration. Most providers also use a paralytic agent to prevent dangerous movements. Propofol, which lasts about 15 minutes and induces unconsciousness in less than a minute.Ketamine, which has a similarly rapid onset and an effect that lasts about 10 minutes without a second dose.Etomidate, which can induce unconsciousness in 30 seconds that lasts for about 10 minutes.The right agent or combination depends on the ideal length of anesthesia and an assessment of patient health, because each anesthetic poses some risks. You’ll also need anesthesia induction agents. Esmolol, a beta blocker that can reduce the risk of hypertension.Muscle relaxants such as vecuronium and rocuronium.Atropine, especially if you regularly treat pediatric patients.Fentanyl, and alternative sedatives such as sufentanil, lidocaine, alfentanil.It’s wise to have several options on hand in case a patient has allergies or a history of medical conditions that contraindicate a specific drug. Here’s what you need to have on hand to properly perform this technique.īefore administering anesthesia, you must give medication to induce sedation and prevent pain. Without the right equipment, rapid sequence intubation becomes impossible. It helps prevent aspiration by reducing the interval of time between loss of consciousness and inflation of the endotracheal tube cuff. Some patients have a high risk of pulmonary aspiration when under anesthesia and require a technique called rapid sequence intubation (sometimes referred to as rapid sequence induction).