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Rapid Sequence Intubation (RSI)

RSI provides safe airway control in patients at high risk of aspiration.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Rapid Sequence Intubation (RSI)?

Rapid Sequence Intubation (RSI) is the standard airway management technique used in the emergency department in patients assumed to have a full stomach in order to prevent aspiration.

Preoxygenation is performed first; a sedative (etomidate, ketamine, propofol) and a paralytic (succinylcholine, rocuronium) are then administered simultaneously to shorten the apnea period.

RSI is essential in patients with altered consciousness, respiratory failure or high aspiration risk. It requires an experienced team and appropriate equipment.

Symptoms

Patient profiles indicating intubation
Insufficient respiratory effort
Low Glasgow Coma Scale (<8)
Inability to protect the airway
Oxygenation failure
Ventilation failure

Risk Factors

Full stomach (patient requiring emergency surgery)
Trauma and possible cervical injury
Obesity and predicted difficult intubation
Hypotension and shock
Hypoxemia
Pediatric patients

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • RSI decision is made only by emergency, anesthesia or intensive care physicians
  • Informing relatives for consent is important
  • Transfer to intensive care should be planned after the procedure
  • An alternative airway plan (LMA, surgical airway) should be ready

Treatment Methods

01
Preoxygenation (3-5 minutes of 100% oxygen)
02
Drug administration (sedative + paralytic)
03
Cricoid pressure (controversial, applied selectively)
04
Laryngoscopy and endotracheal tube placement
05
Confirmation of tube position (capnography)
06
Maintenance of sedation and analgesia

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.