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Date Published: 13/01/2022
Abstract Views: 450
Views PDF: 215
DOI: https://doi.org/10.51298/vmj.v509i2.1813
Issue
Vol. 509 No. 2 (2021)
Section
Các bài báo
How to Cite
Minh Hiếu, N. ., Văn Chi, N. ., & Văn Đồng, T. . (2022). ASSESSMENT OF RAPID SEQUENCE INTUBATION (RSI) IN EMERGENCY PATIENTS. Vietnam Medical Journal, 509(2). https://doi.org/10.51298/vmj.v509i2.1813

ASSESSMENT OF RAPID SEQUENCE INTUBATION (RSI) IN EMERGENCY PATIENTS

Nguyễn Minh Hiếu1,, Nguyễn Văn Chi1, Trịnh Văn Đồng1
1 Hanoi Medical University

Main Article Content

Abstract

Objective: Compare between rapid sequence intubation and intubation without using neuromuscular blocking drugs. Method: Descriptive study on 63 patients in Emergency Center, Bach Mai Hospital, who received tracheal intubation in two methods rapid sequence intubation and intubation without using neuromuscular blocking drugs. Results: The most popular diseases were digestive (33%) and respiratory diseases (31%). Intubations with RSI had a higher success rate on the first attempt compared to those with non-RSI (88 vs 67%,p < 0,05). It took less time to perform intubation with RSI compared to those with non–RSI (76s vs 163s, p<0,05). Hypotension rate in non–RSI group was higher than that in RSI group (p<0,05). Other complications such as mouth, throat trauma, esophageal intubation, main stem bronchial intubation, regurgitation, vomiting, cuff failure and hypoxemia in procedure did not have statistically significant difference between two group RSI and non – RSI (p>0,05). Conclusion: Rapid sequence intubation method with ketamine and rocuronium in emergency patients, who do not have difficult airway, associated with shorter time to perform endotracheal intubation, higher success rate on the first attempt but not with the risk of complications compare with intubation without neuromuscular blocking drugs.

Article Details

Keywords

rapid sequence intubation, sedative, neuromuscular blocking drug

References

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