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Poll Results: How do you perform a rapid sequence induction?
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No Subject
Posted on: 2006-04-16 07:48:45
By: Anonymous
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If the patient is compromised then titrating the dose to minimise deleterious effects has obvious advantages.
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Re:
Posted on: 2006-05-07 01:02:29
By: Anonymous
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but you would consider this when preselecting your dose
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Re:
Posted on: 2006-07-20 15:01:31
By: Anonymous
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Rapid sequence induction - by definition is- use of predetermined doses.
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Rapid sequence induction
Posted on: 2006-05-25 06:11:43
By: Anonymous
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I wonder would it be still considered as rapid sequence induction if we wait for the response which is obviously delayed with propofol.
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Rapid sequence
Posted on: 2006-06-01 09:54:04
By: Anonymous
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In most cases I use rocuronium 1 .o mg/kg for rapid sequence
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Re: Rapid sequence
Posted on: 2006-06-13 06:46:10
By: Anonymous
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If you use rocuronium you are NOT doing a rapid sequence induction!
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Re: Rapid sequence
Posted on: 2006-09-08 09:55:35
By: Anonymous
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Yes it is , but what happend if would be difficult intubation and morover difficult ventilation?
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Re: Rapid sequence
Posted on: 2007-03-16 16:19:26
By: Anonymous
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yes you are. you need to use a high dose (1.6 mg/kg) to rapidly cause paralysis; almost the same onset as sux. only difference is you burn your bridges, so you need to be fairly confident about the airway. suggamedex may change the way RSIs are done in the future.
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Re: Rapid sequence
Posted on: 2007-11-04 05:23:49
By: Anonymous
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I can't imagine to do a whatever sequence induction without a single smooth attempt to ventilate by mask before the sux.
AVOID THE CAN'T VENTILATE - CAN'T INTUBATE - SITUATION
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RSI
Posted on: 2006-08-24 07:47:35
By: Anonymous
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DO YOU REALLY THINK YOU ARE ACCURATE AT PREDICTING WHAT DOSE IS CORRECT. SEEMS FOOLHARDY AND A TOUCH ARROGANT TO ASSUME YOU KNOW HOW MUCH IS ENOUGH. USE THIO, GET A RAPID TITRATED RESPONSE AND THEN GIVE SUX. SIMPLE
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Re: RSI
Posted on: 2006-09-21 03:04:27
By: Anonymous
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Stop shouting.
The whole idea of a rapid sequence induction is ... it's rapid.
Titrating the induction dose, almost by definition is not rapid.
Yes. I CAN predict the dose required in advance. Perhaps after you've done a few thousand also, you will be able to predict it also.
If I'm really concerned about hypotension, I just add some aramine to the thio or propofol. And the patient is really cactus, just induce them with 4 or 5 mg/kg of ketamine, and sux. Works a treat.
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Re: RSI
Posted on: 2006-11-20 02:13:30
By: Anonymous
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In those sort of doses ketamine is a myocardial depressant and if the patient is already maximmaly sympathetically stimulated then you will induce significant hypotension and possible cardiac arrest. It happened to a consultant I know!
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Re: RSI
Posted on: 2006-12-20 06:00:11
By: Anonymous
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RSI aim is to prevent the dreaded complications of gastric aspiration. by titrating dosage of an anaesthetic agent the patient is laid open to the very complications that we want to avoid. just shoot in the anaesthetic agent and sux .. intubate as fast as possible to secure the airway.
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Re: RSI
Posted on: 2007-02-13 23:50:52
By: Anonymous
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Hi, so how many of thousand RSIs have you done so far? All with this technique? Whats a cactus?
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RSI
Posted on: 2007-04-25 23:16:48
By: Anonymous
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can I vote for pre-selected dose and then sux when consciousness lost? (ie a bit each way)
more like sux when they get that glazed look and you know it's hit the effect site
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Re: RSI
Posted on: 2007-05-14 10:17:54
By: Anonymous
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Look forward to Suggamedex being available and hope that it is all that it is cracked up to be. In the mean time, if I have to RSI I warn the patient they might be aware (if that is a possibility - ie not the SAH grade 5 patient), use Thio, and pray...
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