Rapid sequence induction: An international survey
BACKGROUND
Rapid sequence induction (RSI) is a standard procedure, which should be implemented in all patients with a risk of aspiration/regurgitation during anaesthesia induction.
OBJECTIVE
The primary aim was to evaluate clinical practice in RSI, both in adult and paediatric populations.
DESIGN
Online survey.
SETTINGS
A total of 56 countries.
PARTICIPANTS
Members of the European Society of Anaesthesiology.
MAIN OUTCOME MEASURES
The aim was to identify and describe the actual clinical practice of RSI related to general anaesthesia.
RESULTS
From the 1921 respondents, 76.5% (n=1469) were qualified anaesthesiologists. When anaesthetising adults, the majority (61.7%, n=1081) of the respondents preoxygenated patients with 100% O2 for 3 min and 65.9% (n=1155) administered opioids during RSI. The Sellick manoeuvre was used by 38.5% (n=675) and was not used by 37.4% (n=656) of respondents. First-line medications for a haemodynamically stable adult patient were propofol (90.6%, n=1571) and suxamethonium (56.0%, n=932). Manual ventilation (inspiratory pressure
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Airway management Source Type: research