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RSI #5

AB
Sniffing position.....facilitate visualization of the glottic opening.....Sellick Maneuver is controversial.....use caution inserting blade...Components of Positioning the patient for optimal airway visualization
Also called cricoid pressure.....used to help prevent gastric contents regurgitating into the lungs but studies show it does not significantly decrease the risk or visualization of glottis opening...Sellick maneuver
This is the first part of proving ETT placement...visualize the ETT passing through the vocal cords
Three ways to confirm ETT placement...observe color change on end-tidal CO2 detector, 5-point auscultation starting at the epigastric area, chest x-ray
Tube management consists of.....secure the tube and note the depth of initial tube placement
Reasons to continue to administer sedative/analgesia after intubation...patient comfort, to decrease oxygen demand, to decrease ICP
Bradycardia may occur after repeated doses of this paralytic...have atropine ready...Succinylcholine
Good option as an induction agent for patients with reactive airway disease or who are hypovolemic, hemorrhaging, or in shock...ketamine
Not routinely recommended for RSI but may use for post-intubation management....Versed
The most often used induction agent in RSI...Etomidate


Martinsburg, WV

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