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Chapter 74 - Rapid-Sequence Intubation

from Section 9 - Trauma Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Ryan J. Gunselman  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

Following a motor vehicle collision, a 24-year-old male is brought to the operating room for an emergent exploratory laparotomy due to a rigid abdomen and positive focused abdominal sonography for trauma (FAST) exam in the emergency department. The patient is awake and alert. However, he is in pain and is somewhat uncooperative. His blood alcohol content is 0.24%. The patient denies any significant medical history. He admits to binge drinking and smoking. The patient said he last ate around 2 hours ago while at a bar. His airway exam reveals a Mallampati 2 with a thyromental distance of 6 cm. How do you plan to secure this patient’s airway? Does he need a rapid-sequence intubation (RSI)? If so, how would you do it? What are the situations in which a person would require an RSI? What are the contraindications to an RSI?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 311 - 313
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 786–8.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1373–412.Google Scholar
Morgan, GE, Mikhail, MS, Murray, MJ. Clinical Anesthesiology, 4th ed. New York: McGraw-Hill, 2006, pp 287–8.Google Scholar
Varon, AJ, Smith, CE. Essentials of Trauma Anesthesia, 2nd ed. Cambridge: Cambridge University Press, 2018, pp. 32–4.Google Scholar

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