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Professional Technical IVT

RSI

Also written as: RSI — Rapid Sequence Intubation

Rapid sequence intubation - emergency airway management technique using sedation and paralysis to quickly secure the airway.

Full Definition

Rapid sequence intubation is an emergency procedure combining rapid administration of sedative and neuromuscular blocking agents followed immediately by endotracheal intubation. In pediatric critical care, RSI requires careful medication dosing based on weight, consideration of pediatric-specific anatomy, and preparation for potential difficult airways. The technique minimizes the time between loss of protective airway reflexes and successful intubation, reducing the risk of aspiration and hypoxemia.

Usage

Usage note: Always capitalize as an acronym. Spell out on first use in formal documentation.

In Context

  • "The emergency team prepared for RSI given the patient's decreased level of consciousness and risk of aspiration." — Emergency department documentation
  • "RSI medications were drawn up according to the pediatric weight-based protocol." — Procedural checklist

Also known as

rapid sequence induction crash intubation

Contrasted with

awake intubation elective intubation

Don't confuse with

RSV RDS

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