![]() ![]() As a muscle relaxant chelating Sugammadex antagonizes the effects induced by Rocuronium on muscle tissue and quickly resolve the blockade. This problem can be solved through the use of Sugammadex. The problem that limits the use of Rocuronium is the fact that its duration of action is much longer than that of Succinylcholine, especially when used at higher doses. Airway manipulations for endotracheal intubation in a pediatric patient are routinely based on the assessment of the patient’s airway, the difficulty of tracheal intubation and. This drug is characterized by a fairly rapid onset (1-2 min) and an intermediate half-life (45-70 min). Rapid sequence intubation (RSI) and modified rapid sequence intubation (MRSI) are the methods of choice for the majority of pediatric emergency tracheal intubations. The above classic method is now very rarely followed in full. Among these, the most important is the Rocuronium. Rapid sequence induction and intubation (RSII) is a technique commonly used to resist regurgitation of gastric contents and protect the airway 2. RSI was originally described in 1961 by Sellick1 as. The not depolarizing NMBAs are an alternative to Succinylcholine. Succinylcholine is the most common neuromuscular relaxant used in the RSI. In hypotensive patients Ketamine represents a viable alternative. Propofol has replaced Thiopental as the most common intravenous ipnotic. The algorithm of RSI consists in six steps: pre-oxygenation, premedication, myo-relaxation and induction, intubation, primary and secondary confirmation, post-intubation patient management. These were collated by Stept and Safar in 1970 to describe a technique they called Rapid Sequence Induction and Intubation. Rapid-sequence intubation (RSI) is an important technique for airway management of patients in the emergency department and is in the domain of emergency medicine practice. They used a 40-degree head-up tilt so that the larynx would be raised to a height above the cardia greater than the intragastric pressure. Succinylcholine was introduced in 1951 and cricoid pressure first described by Sellick in 1961. Reaffirmed February 2018, April 2012, October 2006, October 2000. In 1959, Snow and Nunn 3 described the technique as a rapid induction of anesthesia with thiopentone and suitable relaxant combined with foot-down tilt. Another complication is represented by Hypoxemia during the manoeuvre. RSI: the history Mendelson first described the deleterious effects of aspiration in 1946. The presence of severe acidosis, depletion of intravascular volume, heart failure and severe pulmonary disease may complicate the pre-induction period as the induction, leading to the onset of vasodilatation and hypotension. But RSI is not applicable in all critically ill patients. ![]() It is a valid method in all those situations where you can not determine whether the patient is fasting or not. Rapid sequence intubation is an essential bullet in the maintenance of patency of the airway during intubation in emergency. ![]()
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