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Intermediate Technical IVT

rapid sequence induction

Anesthetic induction technique designed to minimize aspiration risk through rapid airway control and cricoid pressure.

Full Definition

Rapid sequence induction involves the simultaneous administration of a rapidly acting induction agent and neuromuscular blocking drug followed by immediate intubation without positive pressure ventilation, typically accompanied by cricoid pressure to prevent regurgitation. In cardiac anesthesia, RSI may be indicated in emergency situations, patients with full stomachs, or those with severe heart failure and risk of pulmonary edema. Careful drug selection and hemodynamic monitoring are essential due to the cardiovascular instability often present in cardiac patients.

Usage

Usage note: Specify modifications to standard RSI technique when documenting emergency cardiac anesthesia procedures.

In Context

  • "Rapid sequence induction was performed due to recent meal and emergency status." — Anesthesia record
  • "The patient's hemodynamic instability necessitated modified rapid sequence induction with reduced drug doses." — Case report

Also known as

RSI crash induction

Contrasted with

standard induction awake intubation

Don't confuse with

modified RSI rapid induction

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