Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Rapid Sequence Intubation - Essay Example

Comments (0) Cite this document
Tonsillectomy is one of the most common surgical procedures performed. Over 144000 such surgeries have been performed in the US alone. One of the most feared complications of this surgery includes post surgical bleeding. About 1% -4% of patients are reported to have a complications related to bleeding after tonsillectomy…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER91% of users find it useful
Rapid Sequence Intubation
Read Text Preview

Extract of sample "Rapid Sequence Intubation"

Download file to see previous pages Pre-treating patients with a number of agents to counteract the potential adverse effects of intubulation is also adopted. The basic tenet behind application of RSI is the assumption that the patient has a full stomach and therefore would face dangers from aspiration. In the case cited, the patient is being wheeled in for readmission due to bleeding after tonsillectomy.
When applied by skilled technicians RSI shows an intubation success rate of 98% and reduces complications. Schwartz et al report that 3% of intubation in the critically ill are fatal within30 minutes and as high as 8%-18%intubations get misplaced in the esophagus. About 4%-5% result in incidents of aspiration. This data highlights the importance of assessment prior to intubation and the importance of correct pharmacological interventions before RSI. While assessments are important it has been highlighted by studies that in 70% of situations it practically impossible to conduct assessments in the critically ill.
There can be anatomical and functional impediments for placing a face mask. Anatomical barriers include abnormal anatomy of the face upper or lower airways, compliance of the thoracic and abdominal cavities and so on. Functional problems include obesity, chest and diaphragm restriction, decreased respiratory compliance and the like. During RSI, the soft palate tissue rather than the tongue offer the most resistance. This phenomenon is further enhanced by relaxation of this tissue by the agents used in RSI. The excess secretion like saliva and in this case the blood may be aspirated.
"Ventilation is assisted by a jaw thrust or head tilt, the placement of either a nasopharyngeal or oropharyngeal airway, and the application of positive-pressure assisted ventilation." (Stuart. F. Raynolds, John Heffner.2003)
Visual Indicators of a difficult tubulation are:
Short, fat neck
Small, receding chin
Presence of a beard
Large tongue
Poor mouth opening, and/or neck mobility
Facial injury with excess oral secretions
Facial and/or neck burns
Fractured mandible
Laryngeal injury
(Robert M Pousman, DO.2000)
Patient Assenssment: Forms an important component in the success of the procedure. The Mallampati system is the usual assessment system for menatlly alert patients requiring elective ...Download file to see next pages Read More
Cite this document
  • APA
  • MLA
(“Rapid Sequence Intubation Essay Example | Topics and Well Written Essays - 2500 words”, n.d.)
Retrieved from
(Rapid Sequence Intubation Essay Example | Topics and Well Written Essays - 2500 Words)
“Rapid Sequence Intubation Essay Example | Topics and Well Written Essays - 2500 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Rapid Sequence Intubation

Rapid Sequence Induction and Intubation. Incidence Reflection

...?RSII Incidence Reflection Introduction This paper is going to focus on Rapid Sequence Induction and Intubation (RSII) a situation I came across during my placement. I will give a reflection of this incident as was performed on an obese patient during my clinical placement. This reflection is revolves around the interplay between interpersonal skills and poor communication during tasks performed by teams. Specifically, this reflection will focus on my actions, attitudes of the anaesthetist and role played by my mentor- an anaesthetic practitioner- in the process of handling this situation. In this reflection I have ensured that I maintain confidentiality in line with the Health Professional Council code of Conduct that demands...
12 Pages (3000 words) Essay

Business Studies: Rapid Expansion Efforts Driving Cash Flow Problems

...Business Studies: Rapid Expansion Efforts Driving Cash Flow Problems BY YOU ACADEMIC ORGANISATION Introduction A situation has occurred in which a hypothetical company that manufactures yoghurt and fruit drinks has rapidly expanded its business. During the course of this hasty growth, the firm is now experiencing a noticeable cash flow problem. This paper will identify the factors which could have potentially caused the cash flow issues and will offer theoretical conclusions as to how this problem might have occurred, as well as identify contemporary business efforts by which to improve the firms cash position. For the sake of this work, this hypothetical company will be referred to as United Health Foods. Factors Causing Cash Flow Issues...
6 Pages (1500 words) Term Paper

Economic Consequences of Rapid Population Growth

.... (Ravallion, 1996) 3. a) What are the main causes of population growth in developing countries and how can fertility best be controlled? What are the economic consequences of rapid population growth in developing countries? Are control policies justified? Population growth has reached explosive rates in the past century. This started in 1800 when global population sizes rose by a factor of six. This figure is projected to rise to a factor of ten by the year 2100. The basic causes of population growth are a decrease in mortality rates, increase in fertility rates and various socio economic and socio cultural factors. (Lee, 2003) To begin with, mortality rates have decreased with an increase in life expectancy rates. This has been fuelled...
11 Pages (2750 words) Assignment

Paramedics and Intubation

..., pp. 234-239. Brimacombe. (2005). Laryngeal Mask. Anesthesia. Second Edition, pp. 313-355. C. D. Deakin. (2005). Securing the Prehospital Airway: a Comparison of Laryngeal Mask Insertion and Endotracheal Intubation by UK Paramedics. Southampton University Hospital Trust. Volume 22, pp. 64-67. C. H. Maharaj. (2007). Retention of Tracheal Intubation Skills by Novice Personnel. Anesthesia. Volume 62, pp. 272-278. C. Konrad. (1998). Learning Manual Skills in Anesthesiology. Anesthesia & Analgesia. Volume 86, pp. 635-639. D. J. Lockey. (1999). Aspiration in Severe Trauma. Anaesthesia. Volume 54, pp. 1097-1098. D. P. Davis. (2003). the Effect of Paramedic Rapid Sequence Intubation on Outcome in Patients with Severe Traumatic Brain Injury...
8 Pages (2000 words) Literature review

The Ethical Implications and Impact of Pre-hospital Intubation on Paramedic Profession

...The Ethical Implications and Impact of Pre-hospital Intubation on UK Paramedic Profession Total Number of Words: 1,739 Table of Contents I. Introduction ……………………………………………………………….. 3 II. Compare and Contrast Utilitarian from Deontological Theories ……. 4 III. Impact of JRCALC’s Recommendation over the Role of UK Paramedics within the Healthcare System ……………………….. 6 IV. Conclusion ………………………………………………………………… 8 References …………………………………………………………………… 10 – 13 Introduction Each time a patient needs mechanical ventilation, the use of intubation has been considered the standard treatment procedure by UK paramedics (Deakin et al., 2008). However, the Joint Royal Colleges Ambulance Liaison Committee (JRCALC) has recently recommended...
6 Pages (1500 words) Literature review

A Rapid Decision and Decentralized Decision Making Process in Financial Management

... system/rules driven. 2. Defining the limit to cost of content: The process of creating quality content is generally a slow one. However, in its urge to create content at an accelerated pace, the quality took a hit and the overall cost of content was substantially higher than the forecasted one. From next year onwards, PrepGenie has to put in special financial control protocols to tightly control costs incurred in its biggest cost incurring activity – test content creation. Conclusion PrepGenie, like almost all start ups, has relatively low density financial protocol and control systems in place. This is both necessary and helpful in maintaining a rapid decision and decentralized decision making process. However, as Prepgenie grows...
12 Pages (3000 words) Research Paper

Prolong Intubation Post Coronary Artery Bypass Grafts

...Prolong Intubation Post Coronary Artery Bypass Grafts Critical care units have a good number of patients who are intubated for prolonged duration of time. The most common causes for intubation are relief of upper airway obstruction, ventilatory assistance and to aid tracheo-bronchial toileting. The advent of high volume low- pressure tubes has made it possible for patients to be ventilated for as much as 3 weeks through the endotracheal tube (Cohen et al, 2000). According to the American Heart Association, Coronary artery bypass graft surgery or CABG is the most commonly performed surgery of the heart in the United States. The most common complication of this surgery is prolonged mechanical ventilation. Prolonged intubation can...
9 Pages (2250 words) Article

Childrens Play, Learning, and Creativity as Gleaned from the Video Sequence Paint Tray Pictures

...Children’s Play, Learning & Creativity As Gleaned from the Video Sequence “Paint Tray Pictures” Video Sequence: “Paint Tray Pictures” This video sequence showcases children doing an art activity with paint and marbles. Each child has 1 marble and 4 colour paint containers with a wooden spoon. The child is supposed to dip the marble in a colour using a wooden spoon then swirl the marble on the paint tray lined with paper to create a colour pattern. Then the child can opt to dip the marble in another colour and do the same until she forms her own paint design. The key worker supervises, prompting the children on what to do, supporting their actions with praises and reminding them of the concept of colours (The Open University, 2009 DVD...
8 Pages (2000 words) Term Paper

Rapid Rise of Social Media Tools and a Shift to a Stakeholder Society Issues

...Topic: Due to the rapid rise of social media tools and a shift to a stakeholder society, are Public Relation practitioners witnessing a new model ofPR Social Media tools are changing the way of marketing and lead generation, bringing individual relevancy to communication efforts and at the same time fulfilling marketing criteria and legal obligations. There is need to comprehend and integrate social media plan to PR initiatives (Flanagan 2010). The top three critical issues faced in corporate communications are how to use communication as a tool to attain business targets, high performance with limited resources and lead amidst the aggressive populism. Trust building both internally and externally, reputation management and transparency...
9 Pages (2250 words) Case Study

Dangers to Health Posed by Rapid Urbanization

...Dangers to Health Posed by Rapid Urbanization College: Introduction Research has shown that by 2030, almost 75% of the people in the world will be living in urban areas (World Health Organization, 2006). Rapid urbanization has been on the rise especially in the developing countries. People are moving away towards the cities from rural places. Although efficiently running cities are a mark of development, rapid urbanization is a double-edged sword. It brings with it the benefits of urbanization but on the other hand, it has disadvantages. Poorly designed urban areas have led to risks such as unstable social relationships, water crises, pollution and the spread of diseases. The problems are made worse as migration increases. WHO...
6 Pages (1500 words) Essay

Dangers to Health Posed by Rapid Urbanization

... Dangers to Health Posed by Rapid Urbanisation The world is facing a historically unmatched change from predominantly rural to urban living. In 1950, a third of the globe’s population lived in urban centers (Bostrom 2014, p. 7). However, today, the figure has already attained over a half, and researchers project that, in 2050, urban center dwellers are projected to account for over two-thirds of the globe’s population (Bostrom 2014, p. 7). This fast rise will mainly occur in developing nations. Asia and African came into question when you take thin, will be the fasted growing regions with the urban populace anticipated to attain 64% in Asia and 56% in African by 2050, which currently lie at 48% and 40% respectively (Bostrom 2014, p. 7...
6 Pages (1500 words) Assignment
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Rapid Sequence Intubation for FREE!

Contact Us