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ISSN Introduction : The Intensive Care Unit ICU physician should have the skill to successfully manage patients requiring airway insulation on account of their poor ventilatory condition. The purpose of this article is to review the current knowledge regarding rapid sequence intubation in the ICU patients and to summarize the procedure to maximally reduce the risks of intubating a critical patient.
Methods : Theme review. Clinical trials, meta-analysis, practicing guidelines, randomized controlled trials, reviews, case reports, classical articles, comparative studies, consensus conferences, and keynote speeches. Published articles on intubation, rapid sequence intubation and ICU intubation were included, all focusing on orotracheal intubation of the critical patient and strategies for optimization of the maneuver.
Results : The search yielded 1, studies. The abstracts were reviewed and those referring to the key review criteria were chosen: intubation protocols for ICU patients. Fifty monographs met the selection criteria. A summarized presentation of the results is made and an approach to a modified rapid sequence intubation is suggested, based on the review accomplished.
Keywords : Intubation; Intratracheal intubation; Intensive care unit; Anesthesia. Services on Demand Article. English pdf Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail.
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Guía para la secuencia de inducción e intubación rápida en el servicio de emergencias
To evaluate the efficacy and safety of rocuronium, the fastest nondepolarizing commercially available neuromuscular blocking agent for the rapid sequence of induction-intubation among critically ill patients.. Prospective trial on critical patients admitted to the Intensive Care Unit necessitating emergency intubation. After induction of anaesthesia and the administration of 50 mg rocuronium the orotracheal intubation conditions were evaluated at 60 seconds by means of the Krieg scale. The hemodynamic changes originated by the administration of rocuronium were analyzed.. Twenty-six patients requiring emergency intubation because of acute respiratory failure 13 , decrease in the consciousness level 12 and hemorrhagic shock 1 were studied. At 60 seconds after the administration of rocuronium, the intubation conditions were considered excellent in 22 cases, good in 3, and not possible in 1 case.
Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. DOI: La secuencia de intubacion rapida SIR es un procedimiento disenado para minimizar el tiempo necesario en el aseguramiento de la via aerea mediante la colocacion de un tubo endotraqueal en pacientes con alto riesgo de broncoaspiracion, especialmente en situaciones de emergencia. View PDF. Save to Library. Create Alert.