Saudi J Anaesth. 2014 Apr;8(2):249-55. doi: 10.4103/1658-354X.130739.
Use of modified rapid sequence tracheal intubation in pediatric patients.
Saudi journal of anaesthesia
Claude Abdallah, Raafat Hannallah
Affiliations
Affiliations
- Division of Anesthesiology, Children's National Medical Center, NW, Washington D.C. 20010 - 2970, USA.
PMID: 24843342
PMCID: PMC4024686 DOI: 10.4103/1658-354X.130739
Abstract
BACKGROUND: Rapid sequence intubation (RSI) has been an established practice, but is not without risks to patient. In different situations, a modification of the standard RSI technique may be more appropriate. The definition of a modified rapid sequence intubation (MRSI) is not well-documented. The purpose of this survey was to determine the working definition of MRSI as well as the modality of its use.
MATERIALS AND METHODS: This descriptive study consisted of a survey of pediatric anesthesiologists and included basic questions related to the anesthesiologist's experience, practice setting and use of MRSI. Responses were compiled and analyzed to identify the working definition, technique, perceived indications/complications as well as hands-on performance of tracheal intubation during use of MRSI in children.
RESULTS: The mean ± SD years in practice of the 228 respondents were 14.9 ± 8.16 years, with pediatric patients comprising 77 ± 33% of their practice. 76.8% completed a fellowship in pediatric anesthesia. 60% of the respondents' practice setting was at a Children's Hospital. Different respondents agreed with different techniques of MRSI with the majority (65%) defining a MRSI as equivalent to a RSI, but with mask ventilation. The major indication of use of a MRSI was a concern about apnea time tolerance with traditional RSI (74%).
CONCLUSION: Technique of a MRSI varies among pediatric care providers.
Keywords: Airway; endotracheal; intubation; pediatrics; survey; technique
References
- Br J Anaesth. 1994 Oct;73(4):559-63 - PubMed
- Anesthesiology. 1997 Jan;86(1):7-9 - PubMed
- J Clin Anesth. 2002 Mar;14(2):115-20 - PubMed
- Paediatr Anaesth. 2002 Sep;12(7):655; author reply 655 - PubMed
- Br J Anaesth. 1987 Mar;59(3):315-8 - PubMed
- Anesthesiology. 2003 Jul;99(1):60-4 - PubMed
- Br J Anaesth. 2006 Oct;97(4):564-70 - PubMed
- J Clin Anesth. 1996 Nov;8(7):568-74 - PubMed
- Can J Anaesth. 2010 Apr;57(4):330-6 - PubMed
- Anaesth Intensive Care. 2003 Aug;31(4):388-91 - PubMed
- Lancet. 1979 Aug 4;2(8136):228-30 - PubMed
- Prehosp Disaster Med. 1995 Apr-Jun;10(2):101-5 - PubMed
- Anesth Analg. 2009 Nov;109(5):1363-6 - PubMed
- Paediatr Anaesth. 2002 Feb;12(2):140-5 - PubMed
- Paediatr Anaesth. 2002 Jan;12(1):1-4 - PubMed
- Anaesthesia. 2000 Mar;55(3):263-8 - PubMed
- Masui. 2007 May;56(5):534-41 - PubMed
- Acta Anaesthesiol Scand. 2009 Oct;53(9):1167-72 - PubMed
- Rev Esp Anestesiol Reanim. 2003 Feb;50(2):87-96 - PubMed
- Anesth Analg. 1984 Jan;63(1):60-4 - PubMed
- Lancet. 1961 Aug 19;2(7199):404-6 - PubMed
- Paediatr Anaesth. 1995;5(2):115-9 - PubMed
- Acta Anaesthesiol Scand. 2001 Nov;45(10):1210-4 - PubMed
- Anesth Analg. 1998 Dec;87(6):1259-62 - PubMed
- Anaesthesia. 1999 Mar;54(3):247-52 - PubMed
- Paediatr Anaesth. 2008 Feb;18(2):97-9 - PubMed
- Anesth Analg. 1998 May;86(5):945-51 - PubMed
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